Presentation
Diabetes mellitus and stroke with right hemiplegia, presented with shock and disseminated intravascular coagulation. She was found to have a tense and pale right lower limb. CT angiogram as limb ischemia with compartment syndrome was suspected.
Patient Data
- Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
Gas density within calf muscle. No evidence of osteomyelitis.
Single slice through pelvis: gas within right external iliac vein. Pelvic ascites.
Single slice through leg: gas within muscles, subcutaneous fat and, possibly, tibia.
Gas within hamstring muscle.
Case Discussion
Leg radiograph showed gas within the calf muscles.
CT showed large amount of gas within the muscles, and small amount of gas within veins, subcutaneous fat and bone. Findings are compatible with necrotizing infection, which is in keeping with presentation of shock and DIC. Foul smell was noted during amputation. Patient deteriorated after the operation and eventually succumbed.
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