Muscle hernia - leg

Case contributed by Dr Maulik S Patel

Presentation

Presented with a complaint of bilateral leg multiple bulges after walking for the last few days. Referred for local ultrasound.

Patient Data

Age: 50 years
Gender: Male
Ultrasound

The multiple bulges/swellings pointed out by the patient are muscle hernias through fascial defects The herniae are compressible/reducible. The underlying muscles show normal echo pattern. One hernia shows the presence of an associated perforating vessel. There are three hernias in the right leg on the anterolateral side; measuring about 7 x 5 mm, 12 x 6 mm, 7 x 5 mm. There are two hernias in the left leg anterolateral side; measuring about 14 x 9 mm, 7 x 3 mm.

Case Discussion

The patient presented with a history of multiple bulges in both legs after walking. The history itself raises a possibility of the lesions being muscle hernia. The ultrasound confirmed multiple muscle hernia involving both legs.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.