A case of acute renal failure and compartment syndrome after an alcoholic binge

A 25 year old man presented with anuria and bilateral leg pain two days after an alcoholic binge. He subsequently developed rhabdomyolysis causing acute renal failure, with compartment syndrome of both lower legs. This required urgent dialysis and fasciotomy respectively within six hours of admissio...

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Bibliographic Details
Published in:Emergency medicine journal : EMJ 1999-07, Vol.16 (4), p.296-298
Main Authors: Sofat, N, Bell, S, Turner, J, Warrens, A N
Format: Article
Language:English
Subjects:
Acute Kidney Injury - diagnosis
Acute Kidney Injury - etiology
Acute Kidney Injury - therapy
Adult
Alcoholic Intoxication - complications
Compartment Syndromes - etiology
Compartment Syndromes - rehabilitation
Compartment Syndromes - surgery
Emergency Service, Hospital
Follow-Up Studies
Humans
Male
Orthopedic Procedures - methods
Renal Dialysis
Rhabdomyolysis - diagnosis
Rhabdomyolysis - etiology
Rhabdomyolysis - therapy
Treatment Outcome
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Summary:A 25 year old man presented with anuria and bilateral leg pain two days after an alcoholic binge. He subsequently developed rhabdomyolysis causing acute renal failure, with compartment syndrome of both lower legs. This required urgent dialysis and fasciotomy respectively within six hours of admission. He remained dialysis dependent for three weeks and only after four months was he able to weight bear on both legs. Alcohol is a leading cause of rhabdomyolysis. Early recognition and prompt treatment is essential to prevent serious complications.
ISSN:1351-0622
1472-0205
1472-0213
DOI:10.1136/emj.16.4.296