Abstract
To the Editor.— We read with great interest the recent article by Kilcoyne and associates entitled Ruptured Baker's Cyst Simulating Acute Thrombophlebitis (240:1517, 1978) because we recently encountered an unusual twist to a case of a patient with a ruptured Baker's cyst. Report of a Case.— A 27-year-old man came to the Bethany Medical Center emergency room complaining of pain and swelling over the posterior aspect of his left calf. The patient had just returned from a 480-km automobile trip but denied a previous history of trauma or swelling to the left leg or knee. Physical examination disclosed swelling, tenderness, and redness of the left calf, with an abnormal Homans' sign. The patient's diagnosis was deep venous thrombophlebitis, and he was admitted to the hospital after initiation of heparin sodium therapy. We were consulted for management of the patient's heparin therapy; however, further examination showed not only the leg findings
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