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Picture demonstrating a swollen and tense right thigh. It was 8 cm bigger than the left side.
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At presentation the right thigh was tense, swollen, and tender (Fig. 1).
MRI of the right thigh (sagittal view) showing grossly swollen vastus intermedius muscle (small arrows) and a large hematoma displacing surrounding structures (large arrow).
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An urgent MRI of the right thigh was performed, which showed a large 11.7 x 7.6 x 6.9-cm hematoma within the swollen vastus intermedius muscle with significant surrounding mass effect, and a high-grade tear of the distal half of the posterior fibers of the vastus lateralis muscle (Fig. 2).
An intraoperative photo showing the vastus lateralis bulge through the lateral thigh fasciotomy incision, and the muscle appeared swollen and contused distally.
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The vastus lateralis bulge through the wound and the muscle appeared swollen and contused distally (Fig. 3).