Cysticercosis of gastrocnemius muscle

Case contributed by Dr Maulik S Patel

Presentation

Acute , non-traumatic Posterior knee - Calf pain - 2 days. Sudden increase in pain for last 12 hrs.

Patient Data

Age: 40 yrs
Gender: Female

Cystic lesion with thick wall and central calcification in medial head of gastrocnemius. Hypoechoic area between gastrocnemius and soleum which was not compressible. Abnormal hypoechoic linear areas are also present superficial to distal fibres of gastrocnemius

Small popliteal cyst.

No poplieteal venous thrombosis noted ( Not uploaded ).

Patient treated for cysticercosis. Pain significantly reduced.

Ultrasound

US 10 days later

Size of cystic lesion reduced.  Hypoechoic area between gastrocnemius and soleus is not visualized at present.

Poplieal cyst present.

Ultrasound

Follow up US 30 days after 1st US. No pain.

Residual calcification surrounded by hypoechoic area - wall.

Poplieal cyst present.

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Case information

rID: 17517
Case created: 21st Apr 2012
Last edited: 19th Dec 2015
Tags: knee usg, calf
Inclusion in quiz mode: Included

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