Posttraumatic Fat Necrosis Presented as Cellulitis of the Leg

Herzberger, Einat Haikin; Aviner, Shraga; Cherniavsky, Evgenia

doi:10.1155/2012/672397

Cited by 7 publications

(13 citation statements)

References 5 publications

(15 reference statements)

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“…Such clinical pitfall has been described to be possible in contributing to misdiagnosis of some haemorrhagic soft tissue neoplasm as haematoma . In hindsight, on ultrasound, post‐traumatic fat contusion/necrosis usually appears as patchy hyperechoic area within the hypoechoic fat tissue with some pockets of fluid within it . As shown in Figures and , there should neither be any posterior shadowing from the area of fat contusion, nor should there be any supplying vessels within the area of fat necrosis; both of which were present in the first scan of this patient.…”

Section: Discussionmentioning

confidence: 79%

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Cutaneous spindle cell melanoma as seen on ultrasound: A rare case study

Taylor

2020

Sonography

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Currently, according to World Health Organization, 132 000 melanoma incidences have been reported globally each year. 1 Alarmingly, Australia followed by New Zealand was reported to have the highest rate of melanoma in 2018. 2 In Australia, cutaneous melanoma is the third most commonly diagnosed cancer in both men and women aged between 15 and 39 years old. 3 Risk factors include prolonged exposure to the ultraviolet radiation from the sun causing sun burn, indoor tanning, personal and/or family history of melanoma and the phenotypic characteristic of fair skin. 4,5 If detected early in a localised state, melanoma is treatable by local excision; however, it can metastasise rapidly and become life threatening. 5 The case below describes an imaging journey of a patient who was diagnosed with a spindle cell melanoma in her arm, and the role ultrasound can play in the diagnosis.

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Section: Discussionmentioning

confidence: 79%

“…Ultrasound Doppler 14 days after trauma—fat necrosis with peripheral vascularity only ( p2) Free access material…”

Section: Discussionmentioning

confidence: 99%

Cutaneous spindle cell melanoma as seen on ultrasound: A rare case study

Taylor

2020

Sonography

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“…Posttraumatic fat necrosis can occur following a trauma, surgery, and any procedure including injections. It is more prevalent in women and usually appears on arms, breasts, thighs and buttocks 7) . Fat necrosis may appear as a palpable mass, local depression, discoloration of the skin, and it causes localizing pain.…”

Section: Discussionmentioning

confidence: 99%

Radial Nerve Compression Caused by Traumatic Fat Necrosis

Hwang

Lee

Park

et al. 2017

Nerve

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This report describes radial nerve compression due to posttraumatic mass in the subcutaneous layer of an arm. Generally, these posttraumatic masses are mostly hematomas that develop from injured areas. The patient complained about motor weakness in hand and a tingling sensation of forearm. So we performed surgical resection and biopsy of the mass. The pathologic diagnosis was fat necrosis unlike our impression. Usually, the most common complaints of posttraumatic fat necrosis are a palpable mass and pain. In this case, the fat necrosis compressed the radial nerve and induced neurological symptoms.

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“…Cellulitis is a skin infection of the subcutaneous tissues that is clinically diagnosed based on the presentation of a nonpurulent erythematic rash with striations and irregular margins, swelling, and local tenderness, [1][2][3][4]11,14,17,18,25 as seen in this case. It also has the potential to spread rapidly to various regions of the body adjacent to the initial dermatologic outbreak.…”

Section: Discussionmentioning

confidence: 99%

“…It is clinically diagnosed based on the presentation of a nonpurulent erythemic rash with irregular margins, edema, and local tenderness. [1][2][3][4][5][6][7][8] The most common presentation for cellulitis of the lower extremities is a secondary condition due to trauma, which is most commonly seen in sports-related trauma or trauma involving foreign bodies. Other common presentations are seen among patients with a body mass index higher than 31, geriatric patients, and patients with a history of diabetes or immune compromise.…”

Section: Introductionmentioning

confidence: 99%

Cellulitis of the Knee in a 16-Month-Old Boy: A Case Report

Joubert

Duarte

2016

Journal of Chiropractic Medicine

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Objective: The purpose of this case report is to describe the presentation of cellulitis in a 16-month-old boy to a chiropractic clinic. Clinical Features: The patient presented with nontraumatic, sudden onset of nonpurulent erythema on the right knee. A plain film radiograph of the knee showed a 40-mm thickening of the anterior knee. A diagnosis of cellulitis was rendered based on the presentation of the rapidly spreading erythema and radiographically confirmed findings. Intervention and Outcome: The patient was immediately referred to the local emergency room. The patient was hospitalized, treated with clindamycin and amoxicillin for 3 days, and then discharged. The patient's pediatrician discontinued clindamycin treatment at the posthospitalization follow-up. Two weeks after treatment was discontinued, the patient was diagnosed with recurrent cellulitis. Conclusion: This case demonstrated that for this young patient with cellulitis of the knee, timely recognition and referral, together with patient or parent education and immediate treatment, were essential to a successful outcome.

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Posttraumatic Fat Necrosis Presented as Cellulitis of the Leg

Cited by 7 publications

References 5 publications

Cutaneous spindle cell melanoma as seen on ultrasound: A rare case study

Cutaneous spindle cell melanoma as seen on ultrasound: A rare case study

Radial Nerve Compression Caused by Traumatic Fat Necrosis

Cellulitis of the Knee in a 16-Month-Old Boy: A Case Report

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