Diabetic myonecrosis of the gastro-soleus: A rare complication of a common disease

ABSTRACT Diabetic myonecrosis is an uncommon complication of diabetes mellitus. It is seen in the setting of uncontrolled diabetes mellitus and associated with microvascular complications. Here, we report the case of a 35-year-old woman who presented with pain and swelling in her left lower limb for 2 months. Extensive evaluation was done to rule out other common differentials of lower limb pain and swelling. A magnetic resonance imaging (MRI) of the lower limb revealed areas of myonecrosis of the gastro-soleus muscle. Following conservative management, her symptoms improved, and an MRI repeated after 4 months showed resolution of the myositis. Although myonecrosis has been typically described as involving the thigh and hip muscles, atypical presentations should be kept in mind to ensure optimal management.