An Intact Dissecting Baker’s Cyst Mimicking Recurrent Deep Vein Thrombosis

Abstract

We report a case of a 75-year-old female with a history of acute deep vein thrombosis (DVT) 6 years ago who presented with unilateral calf swelling and pain. D-dimer was normal, and compression ultrasound revealed findings typical of DVT, including an incompressible dilated and hypoechoic peroneal vein. Despite 4 months of anticoagulation for supposed recurrent DVT, pain symptoms persisted and repeat D-dimer and compression ultrasound were unchanged. A magnetic resonance imaging scan to investigate the leg demonstrated a 6-cm dissecting Baker’s cyst extending posterolaterally resulting in venous compression and distal dilation, which appeared to have been confused with a DVT. Ultrasound-guided aspiration of the cyst provided immediate and sustained relief. Herein we provide a review of the literature for the management of this rare scenario.

Diretriz Conjunta sobre Tromboembolismo Venoso – 2022

“…Habitualmente, apresenta câmara única e ser multiloculado. 109 Tumores de partes moles, benignos (schwanomas, neuromas histiocitomas fibrosos) ou malignos (sarcomas, osteosarcomas), podem cursar com Quadro semelhante à trombose venosa ou se apresentar como condição compressiva (Figura 17). 110 O USV é uma ferramenta bastante acessível e disponível na abordagem inicial da pesquisa de trombose venosa; no entanto, condições não trombóticas podem cursar como diagnóstico diferencial.…”

Simultaneous arthroscopic cystectomy and unicompartmental knee arthroplasty for the management of partial knee osteoarthritis with a popliteal cyst: A case report

“…Finally, the procedure can relieve discomfort in the popliteal fossa region (16). The popliteal cyst symptoms may manifest as calf pain, positive Homan's sign, swelling, infection, compressive neuropathy, posterior compartment syndrome, and other findings mimicking the calf thrombophlebitis or vein thrombosis, especially if they ruptured (17)(18)(19)(20)(21)(22)(23). Therefore, cystectomy may be required, especially when the size of the popliteal cyst is greater than the baseline of 13.4 cm 2 for the patient seeking TKA (9).…”

Lower limb ischemia due to popliteal artery compression by Baker cyst

“…Lying between several surrounding cysts, the main cyst expanded in a posterosuperior direction and compressed the popliteal artery despite its modest size. 5 , 6 In addition, the polycystic nature might have led to limited efficacy of needle aspiration. Thus, surgical resection was inevitable to relieve the pain and to avoid severe limb ischemia for this unusual Baker cyst with arterial flow disturbance.…”