Diabetic muscle infarction with pelvic vein thrombosis: An u
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Diabetic muscle infarction (DMI) is a rare complication of poorly controlled, long-standing diabetes. It presents as a non-traumatic acute onset of muscle swelling, sometimes palpable, with mild to moderate pain. Though first reported in 1965, less than 200 cases have been reported in the last 50 years.However, the presentation of DMI with extensive deep vein thrombosis (DVT), involving femoral and iliac veins, has not been previously reported. Lower limb vastus group muscles and calf muscles are commonly involved in DMI.Important differential diagnoses to be considered include cellulitis, pyomyositis, spontaneous gangrenous myositis, necrotizing fasciitis, venous thrombosis, intramuscular hematoma and neoplasm.We report two cases of patients with DMI with extensive DVT that presented to our emergency department (ED) as acute non-traumatic swelling of the lower limb. The diagnosis of DMI in both the cases was based on the presence of characteristic clinical features and typical magnetic resonance imaging (MRI) findings...

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