Incision and drainage of the inflamed fluctuant
nodules was performed during the initial visit of the other students.
X-rays of the right hip revealed soft tissue swelling and fluid accumulation corresponding to the fluctuant
area noted on physical examination.
During the following 4 weeks, multiple firm, erythematous lesions developed, which were not tender, fluctuant
, or itchy, at the site of the injury and on the medial and anterior aspects of the lower and upper arm (Figure).
This area was fluctuant
and showed tender to palpation.
area was surrounded by an indurated warm area approximately 4 cm in diameter that extended to the scrotum.
Intraoral examination revealed a midline, large, cystic sublingual mass which was fluctuant
and nontender (Fig.
Macroscopic examination showed a soft, fluctuant
, well-circumscribed mass with irregular cystic spaces filled with whitish fluid and some cysts containing dark-colored fluid, which was supposed to be blood.
Intraoral tumors are often bluish-red and fluctuant
, and they may resemble mucoceles or vascular lesions.
Another 17-year-old male high school student (patient 2) from the same football team was hospitalized at the same hospital on October 20 for a fluctuant
right leg mass.
On physical examination a large (5 X 8 cm), deep, subcutaneous fluctuant
area was noted at the inferomedial aspect of the right scapula.
These mobile, doughy masses are fluctuant
Gynecologic examination showed greenish, purulent vaginal discharge and a fluctuant
mass in the pouch of Douglas.
The mass is fluctuant
, freely movable, and nontender.
Clinical examination revealed distended, soft, fluctuant
swelling on the front of the right hock joint, as well as in the medial and lateral plantar pouches.
However, the mass did not resolve, and it subsequently became fluctuant