An unexpected event after deep vein thrombosis in spinal cord injury: Ruptured Baker’s cyst

Deep vein thrombosis (DVT) is a common complication after spinal cord injury (SCI). This case report discusses a rare occurrence of a ruptured Baker's cyst in a SCI patient who was being treated for DVT with low-molecular-weight heparin (LMWH). The patient, who was hospitalized for rehabilitation due to paraplegia, experienced sudden pain and swelling in her leg. Initially, subcutaneous hemorrhage was suspected, but imaging revealed a ruptured Baker's cyst. The case highlights the importance of considering alternative diagnoses, such as a ruptured Baker's cyst, in SCI patients presenting with leg pain and swelling, especially when they are on anticoagulant therapy for DVT.

• 1
  A ruptured Baker's cyst can occur in SCI patients undergoing LMWH treatment for DVT.
• 2
  Symptoms of a ruptured Baker's cyst can mimic other conditions such as subcutaneous hemorrhage, lymphedema or cellulitis, requiring differential diagnosis.
• 3
  Ultrasound-guided aspiration can be an effective treatment for ruptured Baker's cysts in SCI patients, alongside supportive therapy.