An Unusual Presentation of Baker's Cyst Rupture in an Inflammatory Bowel Disease Patient.

Case Rep Med

University of Maryland School of Medicine, Department of Medicine, Division of Gastroenterology and Hepatology, Baltimore, MD, USA.

Published: January 2020

AI Article Synopsis

  • - It describes a 32-year-old male patient with inflammatory bowel disease (specifically, Crohn's disease) who presented with sudden pain and swelling in one leg.
  • - The medical team initially suspected a blood clot due to symptoms like redness and systemic issues.
  • - Ultimately, the patient was diagnosed with a ruptured Baker's cyst, an issue not commonly highlighted in literature but relevant for patients with chronic inflammatory conditions like IBD.

Article Abstract

When evaluating a patient with acute onset unilateral leg pain and concurrent inflammatory bowel disease (IBD), keeping a broad differential diagnosis will allow for prompt diagnosis and management. The patient described in this case report is a 32-year-old male with inflammatory ileocolonic Crohn's disease (CD) status after ileocecectomy with perianal involvement and known Type 1 arthropathy. He presented with a three-day history of unilateral leg swelling and tenderness. Initial evaluation focused on possible thrombosis given the development of erythema and systemic symptoms. Final diagnosis was ruptured Baker's (popliteal) cyst. This pathology is not well described in existing literature, but should be considered in IBD patients given their chronic inflammatory state and common associated intra-articular pathology.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970509PMC
http://dx.doi.org/10.1155/2020/3149058DOI Listing

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