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Painful swollen lower limb with bluish discoloration
  1. Tun Hing Lui,
  2. Chong Yin Mak
  1. Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, Hong Kong, China
  1. Correspondence to Dr Tun Hing Lui, Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, Hong Kong, China; luithderek{at}yahoo.co.uk

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Clinical Introduction

A 53-year-old man presented with 2-day history of acute pain, swelling and bluish discoloration of his left lower limb (figure 1). He did not have chest pain, shortness of breath or palpitation. Vital signs were within normal limits and the dorsalis pedis and posterior tibial pulses were palpable. Muscle compartments of the thigh and leg were tense and tender. The thigh and leg pain were exacerbated by knee and ankle motions, respectively.

Figure 1

The clinical photo of both lower limbs of the patient.

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Footnotes

  • Contributors CYM managed the patient and collected the clinical data. THL prepared the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

  • Patient consent for publication Obtained.