PMC6503592_01
B-mode ultrasound of right posterior thigh.. Asterisk identifies area of hypoechogencity that represents hematoma.
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Bedside ultrasound of the posterior right thigh was performed and revealed an area of hypoechogencity without Doppler color flow concerning for a fluid collection (Figures 1 and 2).
Color Doppler ultrasound of posterior thigh hematoma.. Yellow box shows absent flow within area of hypoechogencity suggesting the
presence of a fluid collection. The two punctate areas of color are likely
due to either subtle movement of ultrasound probe or due to the active
extravasation of blood noted on CT scan imaging.
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Bedside ultrasound of the posterior right thigh was performed and revealed an area of hypoechogencity without Doppler color flow concerning for a fluid collection (Figures 1 and 2).
Representative image of CT scan, white circle show 8-cm posterior thigh
hematoma with area of active extravasation.
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This finding raised the provider's concern for a traumatic hematoma in the setting of anticoagulant use and an expedited computed tomography (CT) scan with intravenous (IV) contrast of the right leg was obtained, which revealed an 8-cm hematoma in the right posterior thigh with active extravasation (Figure 3).