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

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...

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Main Authors: Gianna Stoleru, Lauren George, Raymond K. Cross, Uni Wong
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2020/3149058
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author Gianna Stoleru
Lauren George
Raymond K. Cross
Uni Wong
author_facet Gianna Stoleru
Lauren George
Raymond K. Cross
Uni Wong
author_sort Gianna Stoleru
collection DOAJ
description 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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spelling doaj-art-eef601db2d1a4d229a387eb0b9a0d3802025-02-03T06:46:07ZengWileyCase Reports in Medicine1687-96271687-96352020-01-01202010.1155/2020/31490583149058An Unusual Presentation of Baker’s Cyst Rupture in an Inflammatory Bowel Disease PatientGianna Stoleru0Lauren George1Raymond K. Cross2Uni Wong3University of Maryland School of Medicine, Department of Medicine, Division of Gastroenterology and Hepatology, Baltimore, MD, USAUniversity of Maryland School of Medicine, Department of Medicine, Division of Gastroenterology and Hepatology, Baltimore, MD, USAUniversity of Maryland School of Medicine, Department of Medicine, Division of Gastroenterology and Hepatology, Baltimore, MD, USAUniversity of Maryland School of Medicine, Department of Medicine, Division of Gastroenterology and Hepatology, Baltimore, MD, USAWhen 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.http://dx.doi.org/10.1155/2020/3149058
spellingShingle Gianna Stoleru
Lauren George
Raymond K. Cross
Uni Wong
An Unusual Presentation of Baker’s Cyst Rupture in an Inflammatory Bowel Disease Patient
Case Reports in Medicine
title An Unusual Presentation of Baker’s Cyst Rupture in an Inflammatory Bowel Disease Patient
title_full An Unusual Presentation of Baker’s Cyst Rupture in an Inflammatory Bowel Disease Patient
title_fullStr An Unusual Presentation of Baker’s Cyst Rupture in an Inflammatory Bowel Disease Patient
title_full_unstemmed An Unusual Presentation of Baker’s Cyst Rupture in an Inflammatory Bowel Disease Patient
title_short An Unusual Presentation of Baker’s Cyst Rupture in an Inflammatory Bowel Disease Patient
title_sort unusual presentation of baker s cyst rupture in an inflammatory bowel disease patient
url http://dx.doi.org/10.1155/2020/3149058
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