Clinical findings:
Physical examinations revealed an unwell, cachexic, vitally-stable
patient who was pale but not jaundiced or cyanosed. The skin was shiny,
tense with multiple dilated veins beside a surgical scar of previous
surgery. Whole thigh was tense and swollen from hip to knee (Fig 1). The
mass was firm and attached to skin and deep structure. No inguinal
lymphadenopathy, with intact distal neurovascular examination. Limited
painful range of motion of hip and knee was found.