• Title/Summary/Keyword: Compartment Syndrome

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Compartment Syndrome of the Upper Extremity Induced by Extravasation of Contrast Media after Computed Tomography: A Case Report

  • Jung, Jae-Won;Lim, Young-Jae;Kim, Beom-Soo;Cho, Chul-Hyun
    • Clinics in Shoulder and Elbow
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    • v.20 no.4
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    • pp.240-243
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    • 2017
  • The incidence of contrast media extravasation has been increasing gradually. Most contrast media extravasations only can cause pain, swelling and erythema. However, in more severe cases, skin necrosis, ulceration, or compartment syndrome may occur, often necessitating a surgery. Early diagnosis and treatment should be established on the spot in order to avoid such a severe damage. We present a case of 42-year-old woman with a compartment syndrome in the right upper extremity caused by extravasation of computed tomography contrast media.

Delayed Treatment of Foot Compartment Syndrome: A Case Report and Literature Review (족부 구획증후군의 지연치료: 증례 보고)

  • Jang, Jihoon;Choi, Young
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.1
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    • pp.46-49
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    • 2021
  • Acute compartment syndrome occurs when pressure increases within closed compartments due to injuries causing soft tissue damage. Delayed treatment can lead to undesirable consequences. This paper reports a three-year-old patient in whom a fasciotomy was performed successfully despite the potential side effects. Fasciotomy may be considered when the diagnosis and clinical symptoms of delayed compartment syndrome are clear. This study determined that the three-year-old patient would undergo a relatively smooth recovery compared to elderly patients of advanced age. Because the dorsalis pedis artery pulse was palpable, an emergency surgical treatment was performed to restore the damaged tissues and prevent further necrosis. The patient has shown a satisfactory recovery.

Repeated gastric dilatations leading to fatal abdominal compartment syndrome in a patient with bulimia nervosa

  • Han, Seung Baik;Durey, Areum;Lee, Seung Jae;Seo, Young Ho;Kim, Ji Hye
    • Journal of The Korean Society of Emergency Medicine
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    • v.29 no.5
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    • pp.551-556
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    • 2018
  • Cases of repeated acute gastric dilatations after binge eating in one patient are rarely reported. We report here a case of repeated acute gastric dilatations in a 22-year-old woman with bulimia nervosa. Her repeated acute gastric dilatations seem to have been related to superior mesenteric artery syndrome. On her last visit due to acute gastric dilatation, she underwent emergency gastric decompression surgery because of abdominal compartment syndrome; however, she eventually died because of ischemia reperfusion injury. Emergency physicians should be aware of the need to manage acute gastric dilatation in patients with eating disorder and should pay attention to the signs and distinctive clinical features of abdominal compartment syndrome.

Compartment syndrome due to extravasation of peripheral parenteral nutrition: extravasation injury of parenteral nutrition

  • Park, Huee Jin;Kim, Kyung Hoon;Lee, Hyuk Jin;Jeong, Eui Cheol;Kim, Kee Won;Suh, Dong In
    • Clinical and Experimental Pediatrics
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    • v.58 no.11
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    • pp.454-458
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    • 2015
  • Compartment syndrome is a rare but devastating condition that can result in permanent neuromuscular or soft tissue injuries. Extravasation injuries, among the iatrogenic causes of compartment syndrome, occur under a wide variety of circumstances in the inpatient setting. Total parenteral nutrition via a peripheral route is an effective alternative for the management of critically ill children who do not obtain adequate nutrition via the oral route. However, there is an inherent risk of extravasation, which can cause compartment syndrome, especially when detected at a later stage. Herein, we report a rare case of compartment syndrome and skin necrosis due to extravasation, requiring emergency fasciotomy and skin graft in a 7-month-old boy who was treated with peripheral parenteral nutrition via a pressurized infusion pump. Although we cannot estimate the exact time at which extravasation occurred, the extent and degree of the wound suggest that the ischemic insult was prolonged, lasting for several hours. Pediatric clinicians and medical teams should carefully examine the site of insertion of the intravenous catheter, especially in patients receiving parenteral nutrition via a peripheral intravenous catheter with a pressurized infusion pump.

Chronic Compartment Syndrome and Stress Fracture (만성구획증후군 및 스트레스 골절)

  • Choi, Chang-Hyuk;Baek, Seung-Hoon;Jang, Il-Woong
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.9 no.1
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    • pp.16-21
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    • 2010
  • The prevalence of overuse syndrome in the lower extremity including chronic compartment syndrome and stress fracture is increasing with popularity of sports activities. Chronic compartment syndrome is defined as elevation of the interstitial pressure during exertional activities in a closed osseofascial compartment that results in microvascular compromise and operative procedures can be necessary if conservative treatments fail. Stress fracture can be classified as fatigue and insufficiency fracture; stress fracture occurs by repeated strain under abnormal conditions from the patient's activity whereas insufficiency fracture does by those from a process intrinsic to the bone. Most stress fractures occur in the lower extremity, most commonly in the tibial region. Fatigue fractures begin in athletes with the change in their training programs. The radiographic findings are usually diagnostic or at least strongly suggestive and MRI has proven to be a beneficial diagnostic tool for difficult diagnostic cases. Fatigue fractures are treated with a decrease in activity, but surgical procedure may be necessary in those in anterior cortex of the tibial diaphysis.

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The Occurence of Deep Vein Thrombosis in Abdominal Compartment Patient (복부구획증후군 환자에서 발생한 심부정맥혈전증)

  • Kim, Seong Yup;Jin, Sung Chan
    • Journal of Trauma and Injury
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    • v.26 no.4
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    • pp.312-315
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    • 2013
  • Abdominal compartment syndrome is one cause of deep vein thrombosis of lower extremity. Although prophylactic dose of anticoagulation agent is safely started after 24~48 hours without the evidence of active bleeding, there may be bleeding complication related to invasive procedure which trauma victims undergo. Inferior vena cava filter should be considered in the treatment plan of this complex situation.

Compartment Syndrome and Deep Vein Thrombosis after Repetitive Posterior Cruciate Ligament Reconstruction (반복된 후방 십자 인대 재건술 후 발생한 구획 증후군 및 심부 정맥 혈전증)

  • Kim, Jin-Goo;Lee, Soo-Won;Choi, Hong-Joon
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.1
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    • pp.58-62
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    • 2008
  • Posterior cruciate ligament reconstructions are dangerous procedure in terms of neurovascular complication. But deep vein thrombosis and associated compartment syndrome after posterior cruciate ligament reconstruction has not been reported, yet. We have experienced a patient who developed a deep vein thrombosis and compartment syndrome after revision posterior cruciate ligament reconstructive surgery, and report the importance of diagnosis and management with the discussions.

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A Clinical Case Study of Residual Symptoms after Decompression of Traumatic Compartment Syndrome (외상성 구획증후군의 감압술 후 잔여 증상에 대한 치료 1례)

  • Ji, Min Jung;Lim, Seong Chul;Kim, Jae Soo;Lee, Hyun Jong;Lee, Yun Kyu
    • Journal of Acupuncture Research
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    • v.32 no.3
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    • pp.197-202
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    • 2015
  • Objectives : The purpose of this study is to report on the residual symptoms after decompression of traumatic compartment syndrome experienced by a patient whose condition was much improved by electroacupuncture and bee venom therapy. Methods : The patient was treated with electroacupuncture and bee venom therapy. The progress of symptoms was checked by visual analog scale, disabilities of the arm, shoulder, and hand(DASH) and range of motion. Results : All results were improved. Scores from the visual analog scale and DASH decreased, while the range of motion increased. Conclusions : Electroacupuncture and bee venom therapy have an effect on residual symptoms after decompression of traumatic compartment syndrome.

An atypical presentation of leiomyosarcoma causing extremity compartment syndrome of the crural region in a Dutch Warmblood mare: a case report

  • Giacchi, Andrea;Marcatili, Marco;Withers, Jonathan;Knottenbelt, Derek
    • Journal of Veterinary Science
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    • v.21 no.1
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    • pp.3.1-3.8
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    • 2020
  • A 12-year-old Warmblood mare was presented with an acute onset left hindlimb lameness associated with generalised soft tissue swelling of the entire limb and medial saphenous vein (MSV) thrombophlebitis. A presumptive diagnosis of extremity compartment syndrome (ECS) was made. Due to the clinical deterioration, emergency fasciotomy of the crural fascia and biopsy was performed. Histological and immunohistochemical examination of the samples confirmed a diagnosis of leiomyosarcoma likely originating from the tunica media of the MSV. This report is the first to describe an unique combination of ECS and thrombophlebitis associated with a leiomyosarcoma in a horse.

Immediate Fasciotomy for Acute Thermal Contact Burn Combined with Compression Injury of the Right Forearm and Hand: A Case Report (우측 전완부와 수부에 화상과 압궤손상을 입은 환자에서 즉시 근막절제술: 증례보고)

  • Jung, Sung Won;Lee, Seungje;Yoo, Kyung-Tak
    • Journal of the Korean Burn Society
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    • v.23 no.1
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    • pp.13-19
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    • 2020
  • Treatment of compartment syndrome is early decompressive fasciotomy to prevent dreadful sequelae of ischemic necrosis of muscles and nerves. We experienced one patient of impending or early compartment syndrome of right forearm and hand caused by a hot compress machine. We did immediate fasciotomy on forearm and late flap coverage with skin graft in this patient with good results.