case_images: PMC9116254_01
case_images: Presentation at diagnosis. (A) Right lower extremity. (B) Left lower extremity (medial thigh). (C) Left lower extremity (outer thigh). (D) Left upper extremity. (E) Right upper extremity.
case_images: ICRP_A_2071274_F0001_C.jpg
case_images: PMC9116254_01_ICRP_A_2071274_F0001_C.jpg
case_images: F0001
case_images: A 69-year-old female with a history of rheumatoid arthritis originally presented to the emergency department with significant bruising to her bilateral upper and lower extremities after what the patient reported was a painful insect sting or bite to her left forearm 1 week prior (Figure 1(A-E)).
case_images: Presentation day of fasciotomy. (A) Right upper extremity with fingers held in flexion.
case_images: ICRP_A_2071274_F0002_C.jpg
case_images: PMC9116254_01_ICRP_A_2071274_F0002_C.jpg
case_images: F0002
case_images: There was significant tension in the volar compartment of the forearm with an associated flexion contracture of the 2nd through 5th digits of the right hand (Figure 2(A)).
case_images: CT Right upper extremity with IV contrast. (A) Axial CT demonstrating a hypodense nonenhancing intramuscular collection within the volar compartment measuring at least 12.3 x 3 x 3 cm. (B) Coronal view of intramuscular collection.
case_images: ICRP_A_2071274_F0003_C.jpg
case_images: PMC9116254_01_ICRP_A_2071274_F0003_C.jpg
case_images: F0003
case_images: Computed-Tomography with IV contrast of the right upper extremity was performed and demonstrated a 12 x 3 x 3 cm hypodense, non-enhancing intramuscular collection within the volar compartment of the medial forearm consistent with a hematoma (Figure 3(A,B)).