Acute compartment syndrome complicating Co lies′ fracture

1996 ◽  
Vol 82 (2) ◽  
pp. 139-140
Author(s):  
P E Howden
Keyword(s):  
Compartment Syndrome ◽  
Rare Complication ◽  
Acute Compartment Syndrome ◽  
High Index ◽  
Post Injury ◽  
Colles Fracture ◽  
High Index Of Suspicion

AbstractColles’ fracture is a common injury and has a relatively high associated morbidity. Compartment syndrome is a rare complication, but a high index of suspicion must be maintained in the initial post-injury and postreduction periods.

scholarly journals Lower Leg Compartment Syndrome after Appendicectomy

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Shane C. O’Neill ◽  
Darren F. Lui ◽  
Colm Murphy ◽  
Patrick J. Kiely
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Functional Recovery ◽  
Lower Leg ◽  
Acute Compartment Syndrome ◽  
High Index ◽  
Leg Pain ◽  
Delayed Referral ◽  
High Index Of Suspicion ◽  
Lower Leg Pain

A 10-year-old boy presented with severe left lower leg pain, uncontrolled with increasing analgesia after appendicectomy. A diagnosis of acute compartment syndrome was made after a delayed referral to the orthopaedic service. The patient subsequently underwent an emergency fasciotomy and made a good functional recovery. To the best of our knowledge this is the first reported case of paediatric lower leg compartment syndrome after appendicectomy in the literature. The case report serves to highlight the importance of maintaining a high index of suspicion for compartment syndrome.

scholarly journals Avoidable Compartment Syndrome! High Index of Suspicion for a Newly Presenting Haemophiliac: A Case Series

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
A. Niblock ◽  
K. Donnelly ◽  
F. Sayers ◽  
P. Winter ◽  
G. Benson
Keyword(s):  
Compartment Syndrome ◽  
Spontaneous Mutation ◽  
Case Series ◽  
Acute Phase Reactant ◽  
High Index ◽  
Specific Factor ◽  
Bleeding Disorders ◽  
Phase Reactant ◽  
Prolonged Aptt ◽  
High Index Of Suspicion

Bleeding disorders can present at any age and vary in their severity. Haemophilia, which is characterised by its x-linked recessive inheritance, can present with a spontaneous mutation and therefore no family history will be evident. Three cases of trauma induced thigh haematomas as an initial presenting feature for people with haemophilia are discussed. The cases highlight the importance of a coagulation screen if the patients bleeding phenotype does not match the injury sustained. An isolated prolonged APTT with no offending anticoagulant cause should always be investigated to look for underlying haemophilia. Interestingly the cases demonstrate the limitations of a coagulation screen. Factor VIII being an acute phase reactant can result in the fact that the initial coagulation screen may be temporarily normal. Therefore, if there is a high index of suspicion for a bleeding disorder, consider repeating the coagulation screen and seeking haematology opinion. Early diagnosis and appropriate specific factor replacement for an injured haemophiliac prevent haematomas expanding thus avoiding potential complications like compartment syndrome or unnecessary surgical input.

Uretero-Arterial Fistula: A Case Report and Review of the Literature

2020 ◽  
pp. 153857442097673
Author(s):  
Amr I. Al Abbas ◽  
Marc Salhanick ◽  
Melissa L. Kirkwood
Keyword(s):  
Case Report ◽  
Rare Complication ◽  
Laser Lithotripsy ◽  
High Index ◽  
Endovascular Intervention ◽  
Review Of The Literature ◽  
Aortobifemoral Bypass ◽  
Left Ureter ◽  
High Index Of Suspicion

Uretero-arterial fistula (UAF) is a rare complication of either aneurysmal disease primarily or pelvic inflammation secondary to urologic, oncologic, or vascular interventions. Diagnosis can be difficult to confirm and treatment may need to proceed on high index of suspicion alone. We present the case of a 56-year-old woman suffering from intermittent hematuria after laser lithotripsy leading to UAF between her left ureter and left Dacron aortobifemoral bypass limb. The fistula was successfully treated with endovascular intervention.

scholarly journals Interesting series of extra abdominal complications in two patients with chronic pancreatitis secondary to chronic alcoholism and pancreatic divisum

2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Dhaval Choksi ◽  
Vikas Pandey ◽  
Prateik Poddar ◽  
Alisha Chaubal ◽  
Meghraj Ingle ◽  
...  
Keyword(s):  
Case Report ◽  
Chronic Pancreatitis ◽  
Pleural Effusion ◽  
Rare Complication ◽  
Chronic Alcoholism ◽  
High Index ◽  
Abdominal Complications ◽  
First Case ◽  
Per Se ◽  
High Index Of Suspicion

Pancreaticopleural fistula is an extremely rare complication of chronic pancreatitis. Interestingly it may present without any symptoms of pancreatitis per se. The diagnosis requires a high index of suspicion due to the predominant thoracic symptoms. Cases with massive, rapidly refilling, refractory pleural effusion in the setting of pancreatitis (symptomatic or asymptomatic) should be suspected of having a pancreaticopleural fistula. We report two cases of pancreaticopleural fistula. One of the patient also had pancreatic divisum and to the best of our knowledge this is the first case report of pancreatic divisum with pancreaticopleural fistula in the literature.

Acute compartment syndrome of the foot due to a twisting injury while playing sports

2020 ◽  
Vol 13 (10) ◽  
pp. e232541
Author(s):  
Humayun Hijazi ◽  
Marc O'Reilly ◽  
Darren Patrick Moloney ◽  
Thomas Bayer
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Rare Complication ◽  
Lateral Compartment ◽  
High Energy ◽  
Acute Compartment Syndrome ◽  
Lateral Ligament ◽  
Severe Injuries ◽  
A Minor ◽  
Haematoma Formation

Acute compartment syndrome (ACS) of the foot is one of the most severe injuries of the foot and typically results from a fracture, crush or vascular injury. ACS, isolated to a single foot compartment, is a rare complication following a simple twisting injury of the ankle. In this article, the authors present the case report of a 25-year-old man who developed ACS, isolated to the lateral compartment of the foot, secondary to rupture of the lateral ligament complex and subsequent haematoma formation. An emergency fasciotomy was performed and the patient had complete resolution of his symptoms. ACS is usually associated with significant trauma, however, there are reported cases in the literature associated with a minor injury. In this case report, the authors describe how ACS developed following a simple ankle sprain playing sports in the absence of a high-energy insult or fracture.

scholarly journals Compartment syndrome obscured by post-operative epidural analgesia

2012 ◽  
Vol 2 (1) ◽  
pp. 19 ◽  
Author(s):  
Md Quamar Azam ◽  
Mir Sadat Ali ◽  
Majed Al Ruwaili ◽  
Hassan Noori Al Sayed
Keyword(s):  
Early Diagnosis ◽  
Epidural Analgesia ◽  
Compartment Syndrome ◽  
Epidural Catheter ◽  
Early Recognition ◽  
Signs And Symptoms ◽  
High Index ◽  
Altered Sensorium ◽  
Passive Stretching ◽  
High Index Of Suspicion

Compartment syndrome is an orthopedic emergency that require early recognition and urgent intervention to avoid catastrophic complications. High index of suspicion is required for early diagnosis based on a constellation of signs and symptoms that include pain out of proportion and worsened by passive stretching, altered sensorium and palpable tenseness. Any event thus, that masks pain, may lead to delay the diagnosis of compartment syndrome. We report here a case of polytrauma where post-operative analgesia was administered using epidural catheter, which obscured pain and lead to delay in recognition of compartment syndrome. Authors wish to share a lesson, learned at the expense of tragedy.

scholarly journals Peroneal Compartment Syndrome of Non-Traumatic Origin: A Case Report

2001 ◽  
Vol 9 (2) ◽  
pp. 67-69 ◽  
Author(s):  
L Andrew Ashton ◽  
PG Jarman ◽  
E Marel
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
High Index ◽  
Aetiological Factor ◽  
Compartment Syndromes ◽  
Traumatic Origin ◽  
High Index Of Suspicion

A patient with acute peroneal compartment syndrome is presented. This case is unusual because the pathology was localised to the peroneal compartment only and because trauma was not an aetiological factor. Acute and chronic compartment syndromes are discussed and differentiated, and the importance of a high index of suspicion in all cases is emphasised.

scholarly journals Acute compartment syndrome in a patient with sickle cell disease

2020 ◽  
Vol 102 (9) ◽  
pp. e1-e2
Author(s):  
E Cochrane ◽  
S Young ◽  
Z Shariff
Keyword(s):  
Sickle Cell Disease ◽  
Compartment Syndrome ◽  
Sickle Cell ◽  
Rare Complication ◽  
The United States ◽  
Acute Compartment Syndrome ◽  
Acute Chest Syndrome ◽  
Cell Disease ◽  
The United Kingdom ◽  
Considerable Morbidity

Haemoglobin SC (HbSC) disease accounts for 30% of cases of sickle cell disease in the United Kingdom and the United States. Unlike other sickle cell carriers, who are relatively asymptomatic, people with HbSC disease have a combination of genotypes with the potential to cause considerable morbidity due to intracellular water loss. Patients can present with acute pain, acute chest syndrome, proliferative retinopathy, splenic and renal complications, or stroke. We present a young man with HbSC disease who developed acute compartment syndrome. This is only the second report of this syndrome in a patient with HbSC disease. This is a very rare complication in HbSC disease, but it can have serious implications.

scholarly journals Well Leg Compartment Syndrome after Contralateral Femoral Neck ORIF

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Christopher Shultz ◽  
Kristen Baca ◽  
Michael Decker
Keyword(s):  
Femoral Neck ◽  
Compartment Syndrome ◽  
Femoral Neck Fracture ◽  
Fracture Fixation ◽  
Rare Complication ◽  
Alternative Methods ◽  
Neck Fracture ◽  
Fluoroscopic Imaging ◽  
High Index Of Suspicion ◽  
Utilization Time

The authors present a case of WLCS after femoral neck fracture fixation. While this is a rare complication, a high index of suspicion should exist. Surgeons should use well leg holders with caution and limit utilization time. Alternative methods of positioning to allow for fluoroscopic imaging exist. WLCS remains a clinical diagnosis; intracompartmental measurements can be used but should be cautiously interpreted. When the diagnosis of WLCS is made, emergent fasciotomies of the affected compartments should be performed. Surgeons should be aware of this complication when using a well leg holder and the potential catastrophic consequences if left ignored.

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