Bilateral Well Leg Compartment Syndrome Localized in the Anterior and Lateral Compartments following Urologic Surgery in Lithotomy Position

Well leg compartment syndrome (WLCS) is a rare but severe complication after the surgery in lithotomy position. We present a case of bilateral WLCS that occurred after the prolonged urologic surgery in lithotomy position. A 50-year-old man complained of severe bilateral lower leg pain and swelling s...

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Bibliographic Details
Published in:Case reports in orthopedics 2018, Vol.2018 (2018), p.1-4
Main Authors: Funayama, Atsushi, Tanikawa, Hidenori, Fujie, Atsuhiro, Yamamoto, Tatsuya, Fukuda, Kentaro
Format: Article
Language:English
Subjects:
Blood pressure
Care and treatment
Case Report
Case reports
Compartment syndrome
Creatine
Creatine kinase
Diagnosis
Fractures
Gangrene
Ischemia
Joint surgery
Legs
Medical diagnosis
Medical imaging
Pain
Surgery
Trauma
Type 2 diabetes
Urology
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Summary:Well leg compartment syndrome (WLCS) is a rare but severe complication after the surgery in lithotomy position. We present a case of bilateral WLCS that occurred after the prolonged urologic surgery in lithotomy position. A 50-year-old man complained of severe bilateral lower leg pain and swelling sixteen hours after the surgery. Physical examination, elevated serum creatine kinase value, contrasting computed tomography, and elevated compartment pressure strongly suggested the development of bilateral WLCS localized in the anterior and lateral compartments. Emergent single-incision fasciotomy was performed four hours after diagnosis. The patient was treated successfully without any neuromuscular dysfunction. An early and accurate diagnosis is important to avoid the delay of treatment and development of neuromuscular dysfunction.
ISSN:2090-6749
2090-6757
DOI:10.1155/2018/2328014