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Unusual course of a haematoma of the thigh
  1. Carolina Ourique1,
  2. Francisco Rego-Costa2,
  3. Paulo Torres-Ramalho3
  1. 1Department of Medicina Interna, Centro Hospitalar São João, Porto, Porto, Portugal
  2. 2Radiology Department, Centro Hospitalar de Sao Joao, Porto, Porto, Portugal
  3. 3Intensive Care Unit, Centro Hospitalar de Sao Joao, Porto, Porto, Portugal
  1. Correspondence to Dr Carolina Ourique, cso.ourique{at}gmail.com

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Description

A Caucasian woman aged 56 years presented to emergency room (ER) department with leucorrhoea and fever since 48 hours. She was a smoker, had no diabetes history, no prosthetic material and denied use of injected drugs.

A month before, the patient had a closed inguinal trauma due to fall from height with a muscle strain of the anterior right thigh. Despite rest and analgesics, she went to ER several times because of progressive local pain and swelling. After 3 weeks, a local ultrasound scan showed a 3 cm size haematoma associated with probable rupture of obturator internus and rectus femoris muscles. On the following days, she developed fetid leucorrhoea …

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