scholarly journals A Rare Case Report of Infected Baker’s (Popliteal) Cyst

2020 ◽  
pp. 1-4
Author(s):  
Salieha Zaheer ◽  
Elizabeth Towner ◽  
Hassan Baiz ◽  
Pierre Morris ◽  
Rehana Siddique ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Good Condition ◽  
Joint Fluid ◽  
Popliteal Cyst ◽  
Baker’S Cyst ◽  
Streptococcus Anginosus ◽  
Baker's Cyst ◽  
Limited Range Of Motion ◽  
The Right

A popliteal cyst, otherwise known as a Baker’s cyst, is a fluid-filled sac that forms behind the knee between the medial head of the gastrocnemius and the semimembranosus muscles. These cysts have a high prevalence in the adult population and are frequently associated with a variety of degenerative conditions of the knee, which complicates the diagnosis. Our patient is an elderly male initially evaluated for a deep venous thrombosis. Further evaluation revealed a baker’s cyst abscess, which was diagnosed on imaging and confirmed post-operatively. A culture growth of the abscess was obtained that grew Streptococcus anginosus. The patient presented with right leg swelling, erythema and knee pain. His physical exam showed significant effusion of the right knee, with tenderness to palpation of the right posterior knee and a limited range of motion with flexion. The venous duplex was negative for deep venous thrombosis (DVT) and the patient continued to experience significant pain with ambulation. A knee aspiration was done with purulent joint fluid sent for culture. A computed tomography (CT) scan without contrast of his right leg revealed a Baker’s cyst abscess within a collection of fluid. The patient was taken to the operating room (OR) with a diagnosis of right septic knee and popliteal cyst abscess where arthroscopic irrigation and debridement with extensive synovectomy of the right knee was performed. Aspiration cultures were positive for Streptococcus anginosus, which has a unique ability to promote abscesses formation. Patient tolerated the procedure well and was discharged from the hospital in good condition with instructions to take Rocephin IV for six weeks. The patient ambulated without difficulty and showed significant improvement after 2 months.

Baker's Cyst Causing Deep Venous Thrombosis

1996 ◽  
Vol 30 (4) ◽  
pp. 355-358 ◽  
Author(s):  
Michael A. Ricci ◽  
James G. Howe
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Baker’S Cyst ◽  
Baker's Cyst

Ruptured Baker's Cyst Simulating Deep Venous Thrombosis

2003 ◽  
Vol 33 (2) ◽  
pp. 106-107 ◽  
Author(s):  
Angamuthu Natarajan ◽  
Rajkumar Amarvathi ◽  
Babu Philip ◽  
Anthony Rozario
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Baker’S Cyst ◽  
Baker's Cyst

Nonoperative Management of Lower Extremity Claudication Caused by a Baker's Cyst: Case Report and Review of the Literature

Vascular ◽  
2005 ◽  
Vol 13 (4) ◽  
pp. 244-247 ◽  
Author(s):  
Wayne W. Zhang ◽  
James K. Lukan ◽  
Maciej L. Dryjski
Keyword(s):  
Ankle Brachial Index ◽  
Limb Ischemia ◽  
Synovial Cyst ◽  
Transient Condition ◽  
Popliteal Cyst ◽  
Term Outcome ◽  
Baker’S Cyst ◽  
Long Term Outcome ◽  
Baker's Cyst ◽  
The Right

A Baker's or popliteal cyst is a synovial cyst in the popliteal fossa arising from the knee joint. The majority of patients develop a popliteal mass that is asymptomatic, but in a small percentage of patients, complications and symptoms occur; these may not only encompass the popliteal veins and arteries but may also include cyst leakage, infection, hemorrhage, and compartment syndrome. Severe lower limb ischemia caused by a Baker's cyst is extremely rare, having been reported only six times since 1960; all patients were treated with surgical intervention. We report the case of a 29-year-old male presenting with right calf claudication caused by a Baker's cyst. The patient was managed nonoperatively with nonsteroidal anti-inflammatory agents, proper exercises, and close observation. His claudication improved progressively and had completely disappeared at 12 months of follow-up. A repeat duplex arterial study showed that increased blood flow to the right foot and the right ankle/brachial index improved to 0.97 from 0.67. Repeat ultrasonography demonstrated that the size of the cyst decreased from 4.5 × 1.5 cm to 2.8 × 0.9 cm. The patient had been followed for 20 months and remained asymptomatic in the last 8 months. We will continue to follow the patient to evaluate the long-term outcome. In summary, our own data and literature review suggest that the limb ischemia caused by Baker's cyst may be a transient condition and can be managed nonoperatively in selected patients.

GIANT BAKER'S CYST AND PSEUDOTHROMBOPHLEBITIS IN PATIENTS WITH RHEUMATIC DISEASES: A NEW INSIGHT INTO OLD COMPLICATIONS

2013 ◽  
Vol 16 (02) ◽  
pp. 1350009
Author(s):  
Massoud Saghafi ◽  
Azita Azarian
Keyword(s):  
Rheumatoid Arthritis ◽  
Rheumatic Diseases ◽  
Imaging Techniques ◽  
Cyst Formation ◽  
Underlying Disease ◽  
Popliteal Cyst ◽  
Baker’S Cyst ◽  
Baker's Cyst ◽  
Study Results ◽  
Prevalent Disease

Background: The knee joint is the most common site for cyst formation. Popliteal cyst may become large and its compressive effects produce complications particularly in subacute and chronic rheumatic diseases. Methods: We evaluated predisposing factors, underlying diseases, complications, course and management of giant Baker's cysts in our patients with rheumatic diseases. Patients with popliteal cysts that extended down lower than inferior level of the popliteal fossa, confirmed by imaging techniques were included in this retrospective study. Results: A total of 40 patients had giant Baker's cysts during last 20 years. Rheumatoid arthritis was the most prevalent disease in 21 patients (52.5%). Our cases included a large series of patients with seronegative spondyloarthropathies complicated with giant Baker's cyst in 10 patients (25%). Localized bulging, pain and tenderness of the calf region were observed in 15 patients (37.5%). A total of 25 patients had symptoms and signs similar to thrombophlebitis (62.5%). Rupture of Baker's cyst was detected in 10 patients (25%). A patient had giant Baker's cyst concurrent with thrombophlebitis. Management was mostly conservative including rest and intra-articular depoglucocorticoid injection with satisfactory results. Conclusions: In this study, rheumatoid arthritis was the most prevalent underlying disease and the pseudothrombophlebitis syndrome was the most prevalent presenting feature of patients with giant Baker's cysts.

Case 1.27

2014 ◽  
pp. 54-55
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Signal Intensity ◽  
Pulmonary Emboli ◽  
Axial Diffusion ◽  
Weighted Image ◽  
Hepatic Lobe ◽  
P 75 ◽  
History Of ◽  
The Right

75-year-old woman with a history of deep venous thrombosis and pulmonary emboli Coronal SSFSE (Figure 1.27.1) and axial fat-suppressed FSE T2-weighted (Figure 1.27.2) images reveal a large exophytic mass projecting inferiorly from the right hepatic lobe, with a few scattered foci of mildly increased signal intensity. Axial diffusion-weighted image (b=400 s/mm...

Leukocyte-rich platelet-rich plasma application in post-traumatic osteoarthritis with popliteal cyst: a case report

2020 ◽  
Vol 15 (6) ◽  
pp. 1695-1702
Author(s):  
Bo Song ◽  
Peter Chia Yeh ◽  
Prathap Jayaram
Keyword(s):  
Platelet Rich Plasma ◽  
Corticosteroid Injection ◽  
Cruciate Ligament ◽  
Symptom Relief ◽  
Basketball Player ◽  
Popliteal Cyst ◽  
Baker’S Cyst ◽  
Baker's Cyst ◽  
Patient Reported ◽  
Post Traumatic

Aim: To describe the successful treatment of a Baker’s cyst in the setting of post-traumatic osteoarthritis using ultrasound-guided injection of platelet-rich plasma. Setting: Outpatient sports clinic. Patient: 29-year old male basketball player. Case description: The patient presented with 2-months history of right knee pain, 17 months after undergoing right knee anterior cruciate ligament reconstruction surgery. Exam revealed medial joint line and medial collateral ligament tenderness with posterior knee swelling. After aspiration, a corticosteroid injection was administered with temporary symptom relief. Diagnostic ultrasound examination confirmed the Baker’s cyst. The patient then underwent two serial leukocyte-rich platelet-rich plasma injections into his right knee. Results: The patient reported complete resolution of pain and cyst size. Conclusion: Leukocyte-rich platelet-rich plasma may be considered as a treatment option for patients with Baker’s cysts in the setting of post-traumatic osteoarthritis.

scholarly journals An unusual case of deep venous thrombosis in a young patient: congenital absence of the infrarenal portion of the inferior vena cava

2019 ◽  
Vol 2019 (6) ◽  
Author(s):  
Thomas Osborne ◽  
Frances Sheehan
Keyword(s):  
Inferior Vena Cava ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Inferior Vena ◽  
Vena Cava ◽  
Congenital Absence ◽  
Current Evidence ◽  
Established Risk Factor ◽  
The Right

Abstract Deep venous thrombosis (DVT) is a commonly encountered diagnosis in clinical practice with a variety of well-established risk factors. Congenital absence of the inferior vena cava (IVC) is an extremely rare but established risk factor for DVT. Patients who develop DVTs are at high risk of long-term complications, including DVT recurrence and post-thrombotic syndrome. Here we report a rare case of a 27-year-old female who presented with an extensive DVT of the right lower extremity secondary to complete absence of the infrarenal portion of the IVC, confirmed on computed tomography. There is little consensus regarding the appropriate management of this patient population, and a brief review of the current evidence follows.

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