The Syndrome of the “Coup de Fouet” Is It Always a Benign Disease?

Abstract

The duplex scanner and color Doppler examination confirmed in all subjects the presence of an intrafascial hematoma in the gemellar zone; in 10 cases (41.7%), with more painful symptomatology, in a zone contiguous to the hemorrhage, we found a gemellar (six cases) or popliteal (four cases) phlebothrombosis. Lastly, we must point out that the syndrome is not always benign and that, therefore, a correct and more vigilant diagnostic and therapeutic approach is necessary.

Spontaneous calf hematoma in a patient with diabetic nephropathy receiving maintenance hemodialysis: A case report and review of the literature

“…6 On the other hand, hematoma and DVT could even occur in the same patient, as described in the "coupde fouet" syndrome, resulting in diagnostic and treatment decisions becoming more difficult. 25 Ocak et al found high-risk DVT in patients with chronic kidney disease. 26 Moreover, they also observed that symptomatic thrombotic events are much higher in dialysis patients.…”

“…Thus, imaging studies, such as ultrasound, CT, and MRI scan are often necessary. 6,25,[30][31][32] In conclusion, physicians should pay much more attention and be aware of the possibility of spontaneous hemorrhage when lower limb swelling occurs in patients undergoing HD receiving anticoagulant agents, especially in cases of patients with DN. Finally, a precise diagnosis and a differential diagnosis with venous thrombosis are particularly important for timely appropriate treatment to avoid further complications.…”

“…as the treatments for each differ . On the other hand, hematoma and DVT could even occur in the same patient, as described in the “coupde fouet” syndrome, resulting in diagnostic and treatment decisions becoming more difficult . Ocak et al .…”

“…However, the findings in the physical examination are often not so specific for the identification of spontaneous hematoma versus DVT. Thus, imaging studies, such as ultrasound, CT, and MRI scan are often necessary …”