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.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia
Nutcracker syndrome is one of the causes of secondary pelvic congestion syndrome.
Presentation at Charring Cross Meeting London 2015