PMC6197402_01
Clinical photo showing the gaping wound at the time of presentation to our institute.
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The swelling kept on increasing in size causing the incision to dehisce and gape later on (Fig. 1).
Radiograph done 2 weeks after the primary surgery (nailing). Slight haziness and whiteness of soft tissues is seen in proximal part.
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A soft tissue swelling expanding laterally and pushing the fibula outwards and dissolving it in the process could be seen (Fig. 2, Fig. 3, Fig. 4).
Radiograph at the time of case presentation to our hospital. The erosion and expansion have progressed with thinning of fibula.
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A soft tissue swelling expanding laterally and pushing the fibula outwards and dissolving it in the process could be seen (Fig. 2, Fig. 3, Fig. 4).
MRI T1 image, coronal section, showing the soft tissue mass in the posterior compartment of leg.
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Size of the hematoma was around about 16 cm vertically, 7 cm mediolaterally and 6.2 cm antero-posteriorly at the maximum width (Fig. 5, Fig. 6, Fig. 7).
MRI T2 image, axial section, at the level of maximum thickness of the mass to measure the dimensions.
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Size of the hematoma was around about 16 cm vertically, 7 cm mediolaterally and 6.2 cm antero-posteriorly at the maximum width (Fig. 5, Fig. 6, Fig. 7).
Ultrasound images to see the relation of hematoma to the surrounding structures and evaluate the origin.
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Doppler Ultrasound also showed hematoma with feeding artery in the wall of cavity (Fig. 8, Fig. 9).
Follow up 12 months clinical picture showing complete healing with subsidence of swelling.
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Radiographs show gradual healing response of fibula (Fig. 11, Fig. 12) and the wound healed uneventfully (Fig. 10).
12 months follow-up radiograph showing calcification of fibula. The intravascular coil can be seen near the fibular neck.
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Radiographs show gradual healing response of fibula (Fig. 11, Fig. 12) and the wound healed uneventfully (Fig. 10).