case_images: PMC11211525_01
case_images: Ultrasound image of the left forearm (A,B) and left breast (C,D): A mixed echogenic mass was seen in the deep fascial and muscular spaces (A), with irregular dark areas inside (B). An inhomogeneous hypoechoic area (C) in the breast with poorly defined borders containing an irregular dark area (D) (blue arrow).
case_images: fmed-11-1413593-g001.jpg
case_images: PMC11211525_01_fmed-11-1413593-g001.jpg
case_images: fig1
case_images: Ultrasound image of the left forearm showed a mixed echogenic mass in the deep fascial and intermuscular spaces with an irregular dark area inside (Figures 1A,B). On the day of transfer to the orthopedic department, we were surprised to find a lump in the patient's left breast that was painful when pressed, and an ultrasound that showed heterogeneous hypoechoicity and dark areas in the left breast (Figures 1C,D).
case_images: MRI of the left forearm: coronal (A) and axial (B) showed extensive tissue inflammatory changes within the deep fascia (blue arrow).
case_images: fmed-11-1413593-g002.jpg
case_images: PMC11211525_01_fmed-11-1413593-g002.jpg
case_images: fig2
case_images: Magnetic resonance imaging (MRI) of the left forearm showed extensive tissue inflammatory changes within the deep fascia (Figure 2).
case_images: (A) On the 3rd day of hospitalization, the patient's skin on the left forearm was markedly red and swollen. (B) In the debridement of the left forearm, we found a large amount of pus under the fascia. (C) On the 14th day after the second surgery, we removed the stitches from the patient and found that the wounds were healing well. (D) During surgery, a huge abscess cavity was found in the left breast, containing a large amount of milky pus.
case_images: fmed-11-1413593-g003.jpg
case_images: PMC11211525_01_fmed-11-1413593-g003.jpg
case_images: fig3
case_images: After 3 days of treatment, the swelling of the left forearm was found to be more severe, with elevated skin temperature and obvious pressure pain (Figure 3A). We incised the abscess cavities, removed the necrotic tissues, and cleaned the wounds with large amounts of saline, 3% hydrogen peroxide, and povidone-iodine solution (Figures 3B,D). On the 14th day after the second surgery, we removed the patient's sutures (Figure 3C).