Hasnain Hashim

A 73-year-old man presented with bilateral leg pain and swelling, and no history of trauma or bleeding disorders. Clinical examination, biochemistry and magnetic resonance imaging of the thighs were suggestive of muscle haematomas. These progressed significantly during the admission, requiring blood transfusion. Normal vascular anatomy on computed tomography, renal and liver function, and absence of infection made a bleeding diathesis more likely.

A 65 year old man described swelling in both legs, which had worsened over six weeks. He also reported vague abdominal discomfort and tiredness. Examination of the lower limbs revealed pitting oedema bilaterally up to the groin, but no erythema, tenderness, or warmth. The patient was otherwise systemically well with normal heart sounds and a clear chest examination. There were no palpable masses in the abdomen or lymphadenopathy.