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January 1979

Baker's Cysts and True Thrombophlebitis: Report of Two Cases and Review of the Literature

Author Affiliations

From the Section of Rheumatology, the Department of Medicine (Drs Gordon, Brogadir, Schumacher, and Schimmer), and the Department of Radiology (Drs Edell and Dalinka), Veterans Administration Hospital and the Hospital of the University of Pennsylvania, Philadelphia.

Arch Intern Med. 1979;139(1):40-42. doi:10.1001/archinte.1979.03630380028012

We describe two patients who had knee pain and were found to have the unusual combination of a Baker's cyst and true thrombophlebitis. Since Baker's cysts can dissect along the gastrocnemius, they can cause leg pain and simulate thrombophlebitis, but they do not require anticoagulation therapy. Most of the literature implies that the two syndromes are mutually exclusive; however, our cases lend support to the fact that a dissecting popliteal cyst does not rule out the possibility of thrombophlebitis. Venography should be performed if there is any doubt as to the diagnosis.

(Arch Intern Med 139:40-42, 1979)

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