Upper limb compartment syndrome after a viper bite in a child: A case report

The occurrence of compartment syndrome after a viper bite is a rare phenomenon and its treatment remains controversial. We report the case of an 11-year-old boy who developed compartment syndrome of the right upper limb following a viper bite. Decompression by fasciotomy was performed urgently with...

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Bibliographic Details
Published in:Hand surgery and rehabilitation 2021-02, Vol.40 (1), p.97-100
Main Authors: Barani, C., Mortamet, G., Forli, A.
Format: Article
Language:English
Subjects:
Child
Compartment syndrome
Enfant
Fasciotomie
Fasciotomy
Morsure de vipère
Syndrome des loges
Viper bite
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Summary:The occurrence of compartment syndrome after a viper bite is a rare phenomenon and its treatment remains controversial. We report the case of an 11-year-old boy who developed compartment syndrome of the right upper limb following a viper bite. Decompression by fasciotomy was performed urgently with a good outcome. Surgical decompression for compartment syndrome following a viper bite is not a common treatment according to the literature. Fast access to care and antivenom administration seem to be effective at treating the compartment syndrome without recourse to fasciotomy. La survenue d’un syndrome des loges après morsure de vipère est un phénomène rare dont la prise en charge est controversée. Nous rapportons le cas d’un enfant de 11 ans ayant présenté un syndrome des loges du membre supérieur droit dans les suites d’une morsure de vipère. Une fasciotomie de décharge a dû être réalisée en urgence, les suites opératoires ont été simples. La prise en charge chirurgicale du syndrome des loges après morsure de vipère est peu décrite dans la littérature. Une prise en charge rapide et l’administration du sérum anti-venin pourraient permettent d’éviter le recours à la fasciotomie.
ISSN:2468-1229
2468-1210
DOI:10.1016/j.hansur.2020.07.003