Unicompartment compartment syndrome following laparascopic colonic resection

We report the case of a 43-year-old man who developed anterior compartment syndrome following laparoscopic colorectal surgery in the lithotomy position. This was initially masked by postoperative epidural usage and ultimately diagnosed 2 days postoperatively. The patient underwent decompression by f...

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Bibliographic Details
Published in:BMJ case reports 2013-07, Vol.2013, p.bcr2013009894
Main Authors: Kalin, Asli, Hariharan, Vimal, Tudor, Francois
Format: Article
Language:English
Subjects:
Adult
Anterior Compartment Syndrome - etiology
Colectomy - adverse effects
Colectomy - methods
Colorectal surgery
Europe (West)
Humans
Laparoscopy
Laparoscopy - adverse effects
Legs
Male
Mortality
Pain
Unexpected Outcome (Positive or Negative) Including Adverse Drug Reactions
White
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Summary:We report the case of a 43-year-old man who developed anterior compartment syndrome following laparoscopic colorectal surgery in the lithotomy position. This was initially masked by postoperative epidural usage and ultimately diagnosed 2 days postoperatively. The patient underwent decompression by four compartment fasciotomy and two follow-up re-explorations of the affected lower limb. This case is unique for two reasons: only the anterior compartment of the lower limb was affected—which is rare in itself—and there was a delay in presentation secondary to postoperative epidural usage.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2013-009894