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Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion
Compartment syndrome is a serious condition characterized by raised intracompartmental pressure, which develops following trauma. Well leg compartment syndrome (WLCS) is a term reserved for compartment syndrome in a nontraumatic setting, usually resulting from prolonged lithotomy position during sur...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4739207/ https://www.ncbi.nlm.nih.gov/pubmed/26885421 http://dx.doi.org/10.1155/2016/2718421 |
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author | Karaoren, Gulsah Bakan, Nurten Tomruk, Senay Goksu Topaç, Zelin Kurtulmuş, Tuhan Irkören, Saime |
author_facet | Karaoren, Gulsah Bakan, Nurten Tomruk, Senay Goksu Topaç, Zelin Kurtulmuş, Tuhan Irkören, Saime |
author_sort | Karaoren, Gulsah |
collection | PubMed |
description | Compartment syndrome is a serious condition characterized by raised intracompartmental pressure, which develops following trauma. Well leg compartment syndrome (WLCS) is a term reserved for compartment syndrome in a nontraumatic setting, usually resulting from prolonged lithotomy position during surgery. In literature, 8 cases have been reported regarding well leg compartment syndrome in a supine position and bilateral symmetrical involvement was observed in only 2 cases. In WLCS etiology, lengthy surgery, lengthy hypotension, and extremity malpositioning have been held responsible but one of the factors with a role in the etiology may have been the tissue oedema and impaired microcirculation formed from the effect of vasoactive mediators expressed into the circulation associated with the massive blood transfusion. The case is presented here regarding symmetrical lower extremity compartment syndrome after surgery in which massive transfusion was made for gross haemorrhage from an abdominal injury. In conclusion, blood transfusion applied at the required time is life-saving but potential risks must always be considered. |
format | Online Article Text |
id | pubmed-4739207 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-47392072016-02-16 Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion Karaoren, Gulsah Bakan, Nurten Tomruk, Senay Goksu Topaç, Zelin Kurtulmuş, Tuhan Irkören, Saime Case Rep Orthop Case Report Compartment syndrome is a serious condition characterized by raised intracompartmental pressure, which develops following trauma. Well leg compartment syndrome (WLCS) is a term reserved for compartment syndrome in a nontraumatic setting, usually resulting from prolonged lithotomy position during surgery. In literature, 8 cases have been reported regarding well leg compartment syndrome in a supine position and bilateral symmetrical involvement was observed in only 2 cases. In WLCS etiology, lengthy surgery, lengthy hypotension, and extremity malpositioning have been held responsible but one of the factors with a role in the etiology may have been the tissue oedema and impaired microcirculation formed from the effect of vasoactive mediators expressed into the circulation associated with the massive blood transfusion. The case is presented here regarding symmetrical lower extremity compartment syndrome after surgery in which massive transfusion was made for gross haemorrhage from an abdominal injury. In conclusion, blood transfusion applied at the required time is life-saving but potential risks must always be considered. Hindawi Publishing Corporation 2016 2016-01-17 /pmc/articles/PMC4739207/ /pubmed/26885421 http://dx.doi.org/10.1155/2016/2718421 Text en Copyright © 2016 Gulsah Karaoren et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Karaoren, Gulsah Bakan, Nurten Tomruk, Senay Goksu Topaç, Zelin Kurtulmuş, Tuhan Irkören, Saime Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion |
title | Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion |
title_full | Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion |
title_fullStr | Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion |
title_full_unstemmed | Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion |
title_short | Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion |
title_sort | bilaterally symmetrical lower extremity compartment syndrome following massive transfusion |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4739207/ https://www.ncbi.nlm.nih.gov/pubmed/26885421 http://dx.doi.org/10.1155/2016/2718421 |
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