Muscle hernia - leg
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Presented with a complaint of bilateral leg multiple bulges after walking for the last few days. Referred for local ultrasound.
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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.
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.
- Sonography of Muscle Hernias. (2012) American Journal of Roentgenology. 180 (2): 395-9. doi:10.2214/ajr.180.2.1800395 - Pubmed