Differential Diagnosis for Bilateral Oedema with Bilateral Involvement of Gluteal Region and Posterior Aspect of Thigh
- Single most likely diagnosis
- Chronic Venous Insufficiency: This condition is characterized by the veins having problems returning blood from the legs to the heart due to valve issues or blockage, leading to fluid accumulation and oedema, particularly in the lower limbs, including the gluteal region and posterior thigh.
- Other Likely diagnoses
- Lymphoedema: A condition where the lymphatic system is impaired, leading to the accumulation of protein-rich fluid in the interstitial tissue, causing swelling. It can affect any part of the body, including the gluteal region and thighs.
- Heart Failure: Right-sided heart failure can lead to fluid accumulation in the peripheral tissues, including the lower limbs, due to the heart's inability to pump blood effectively.
- Nephrotic Syndrome: A kidney disorder that causes the body to excrete too much protein in the urine, leading to low albumin levels, which can cause fluid to leak out of blood vessels and accumulate in tissues, including the gluteal region and thighs.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Deep Vein Thrombosis (DVT): A blood clot in the deep veins of the legs can cause swelling, pain, and warmth in the affected limb. It's crucial to diagnose and treat promptly to prevent pulmonary embolism.
- Compartment Syndrome: Increased pressure within a muscle compartment can lead to muscle and nerve damage. It's a medical emergency that requires immediate attention.
- Rare diagnoses
- Lipedema: A chronic condition characterized by the abnormal growth of fat cells in the legs, leading to swelling and pain. It typically affects the lower limbs but can extend to the gluteal region.
- Filarial Elephantiasis: A parasitic infection caused by filarial worms that can lead to severe swelling and disfigurement of the affected limbs, including the gluteal region and thighs, though this is more common in tropical regions.