66 year old male, Type 1 Diabetes, end stage renal disease on hemodialysis, developed sudden onset of left calf pain. No history of trauma. Ultrasound was negative for DVT. MRI was obtained showing increased signal in the gastrocnemius muscle. Findings are consistent with diabetic muscle infarction.
22 year old with severe post thrombotic syndrome 6 months after left leg deep venous thrombosis (DVT).
Recurrent lower extermity DVT should prompt an investigation for venous outflow obstruction. Too often these patients are under treated.