Adolescent With a Non-Healing Thigh Injury

A 13-year-old girl presented to the emergency department (ED) with a 3-week history of a "weeping wound" on her right medial thigh. Three months before, she fell off a horse and obtained a saddle injury to her right medial thigh, with extensive bruising and swelling. She initially presented to an outside ED, where radiographs were negative for fracture and venous ultrasonography was negative for thrombosis. Three weeks before the current ED visit, she developed an erythematous wound with yellow drainage (Figure 1).

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