Bilateral multifocal lower extremity localized soft tissue amyloidomas: case report with ultrasonographic characterization

Introduction: Soft tissue injuries are a common presenting complaint seen in the emergency department following trauma. However, internal degloving injuries are not commonly seen by the emergency provider. Case Report: A 57-year-old male presented with right lower extremity pain, bruising, and swelling after a low-speed bicycle accident five days prior. Physical examination revealed an edematous and ecchymotic right lower extremity extending from the mid-thigh distally. Computed tomography of the thigh demonstrated a hyperdense foci within the fluid collection suggesting internal hemorrhage and internal de-gloving suggestive of a Morel-Lavallée lesion. Discussion: The Morel-Lavallée lesion is a post-traumatic soft tissue injury that occurs as a result of shearing forces that create a potential space for the collection of blood, lymph, and fat. First described in 1853 by French physician Maurice Morel-Lavallée, this internal degloving injury can serve as a nidus of infection if not treated appropriately. Magnetic resonance imaging has become the diagnostic modality of choice due to its high resolution of soft tissue injuries. Treatment has been focused on either conservative management or surgical debridement after consultation with a surgeon. Conclusion: The emergency physician should consider Morel-Lavallée lesions in patients with a traumatic hematoma formation to avoid complications that come from delayed diagnosis.

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Cutaneous angiosarcoma. A literature review and case report

Journal of the American Podiatric Medical Association ◽

10.7547/87507315-80-9-501 ◽

1990 ◽

Vol 80 (9) ◽

pp. 501-504 ◽

Cited By ~ 9

Author(s):

K Wolf ◽

J Pasquino

Keyword(s):

Case Report ◽

Soft Tissue ◽

Literature Review ◽

Lower Extremity ◽

Soft Tissue Tumor ◽

Surgical Excision ◽

Tissue Tumor ◽

Pigmented Lesion ◽

Malignant Soft Tissue Tumor ◽

Malignant Soft Tissue

A case of angiosarcoma of the lower extremity was presented. This rare but highly malignant soft tissue tumor usually presents as a raised pigmented lesion. Wide surgical excision or amputation is the treatment of choice. Radiotherapy may offer some relief in cases that are inoperable.

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Primary Cutaneous Actinomycosis of Lower Extremity: A Rare Case Report

Anwer Khan Modern Medical College Journal ◽

10.3329/akmmcj.v6i1.24988 ◽

2015 ◽

Vol 6 (1) ◽

pp. 55-57

Author(s):

Mohammad Ismail Hossain ◽

AKM Shahabuddin Khan

Keyword(s):

Case Report ◽

Soft Tissue ◽

Lower Extremity ◽

Rare Case ◽

Extended Period ◽

Surgical Excision ◽

Lateral Aspect ◽

Medical College ◽

Rare Case Report ◽

Direct Inoculation

Actinomycosis is a chronic, suppurative, and granulomatous process caused by actinomycetes, saprophytic bacteria normally residing in the oral cavity. There are a few cases of primary actinomycosis described in the literature where it can involve any organ. Primary cutaneous actinomycosis of the lower extremity is very uncommon and can easily be regarded as ordinary soft tissue infection. Herein, a case of 45-year-old diabetic man with primary cutaneous actinomycosis at his lower extremity, over the lateral aspect of left lateral maleolus, probably after direct inoculation of the microorganism from his saliva into a preceding wound in extremity, was reported. He was treated successfully with surgical excision combined with extended period of antimicrobial treatment.Anwer Khan Modern Medical College Journal Vol. 6, No. 1: January 2015, Pages 55-57

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The First Case Report of Endocarditis Caused by Serratia fonticola

Journal of Investigative Medicine High Impact Case Reports ◽

10.1177/23247096211044915 ◽

2021 ◽

Vol 9 ◽

pp. 232470962110449

Author(s):

Valerie Espinoza ◽

Michael Valdez ◽

Serghei Burcovschii ◽

Isabel Fong ◽

Greti Petersen ◽

...

Keyword(s):

Case Report ◽

Soft Tissue ◽

Lower Extremity ◽

Antibiotic Therapy ◽

Uneventful Recovery ◽

Review Of The Literature ◽

Transesophageal Echocardiogram ◽

First Case ◽

Tract Infections ◽

Human Infections

The cases of human infections caused by Serratia fonticola are relatively rare. The few cases that have been reported primarily describe skin and soft tissue, urinary, and biliary tract infections. We describe a case of a 59-year-old man with infected bilateral lower extremity wounds who developed endocarditis due to S fonticola confirmed with transesophageal echocardiogram. The patient was treated with 6 weeks of antibiotic therapy and had an uneventful recovery. After a thorough review of the literature using PubMed and Google Scholar, we concluded that this is the first reported case of endocarditis caused by S fonticola.

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Pedal Cutaneous Manifestations of Tuberous Sclerosis

Journal of the American Podiatric Medical Association ◽

10.7547/15-225 ◽

2017 ◽

Vol 107 (4) ◽

pp. 324-328

Author(s):

Rachel E. Johnson ◽

Kimberly Avramaut

Keyword(s):

Case Report ◽

Soft Tissue ◽

Lower Extremity ◽

Tuberous Sclerosis ◽

Soft Tissue Mass ◽

Tissue Mass ◽

Cutaneous Manifestations ◽

Systemic Disorder

This case report concerns a patient with a painful soft-tissue mass on his fourth toe. He was evaluated for this soft-tissue mass and was diagnosed as having tuberous sclerosis. The podiatric physician should be able to evaluate a patient with a lower-extremity complaint and relate whether this complaint may correlate with a systemic disorder. This case report will make the podiatric physician more aware of tuberous sclerosis and the manifestations of the disorder.

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