Intramuscular hematoma most commonly occurs following trauma; however, spontaneous hematomas may be seen in elderly patients due to anticoagulation. Intramuscular hematomas may not be chronically expanding, and their signs and symptoms vary, ranging from asymptomatic to swelling that may be expanding in size. In some cases, chronic hematoma may become infected as we witnessed in the case we present in this report. Our patient reported recurrent cellulitis and occasional fever with no other history of probable cause of the recurrent cellulitis. Such an atypical presentation poses a risk of delayed or missed diagnosis of a condition that can threaten the limb of a patient, as seen in our case.
