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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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Autores principales: Yamamoto, Tatsuya, Fujie, Atsuhiro, Tanikawa, Hidenori, Funayama, Atsushi, Fukuda, Kentaro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261077/
https://www.ncbi.nlm.nih.gov/pubmed/30538877
http://dx.doi.org/10.1155/2018/2328014
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author Yamamoto, Tatsuya
Fujie, Atsuhiro
Tanikawa, Hidenori
Funayama, Atsushi
Fukuda, Kentaro
author_facet Yamamoto, Tatsuya
Fujie, Atsuhiro
Tanikawa, Hidenori
Funayama, Atsushi
Fukuda, Kentaro
author_sort Yamamoto, Tatsuya
collection PubMed
description 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.
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spelling pubmed-62610772018-12-11 Bilateral Well Leg Compartment Syndrome Localized in the Anterior and Lateral Compartments following Urologic Surgery in Lithotomy Position Yamamoto, Tatsuya Fujie, Atsuhiro Tanikawa, Hidenori Funayama, Atsushi Fukuda, Kentaro Case Rep Orthop Case Report 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. Hindawi 2018-11-14 /pmc/articles/PMC6261077/ /pubmed/30538877 http://dx.doi.org/10.1155/2018/2328014 Text en Copyright © 2018 Tatsuya Yamamoto et al. http://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
Yamamoto, Tatsuya
Fujie, Atsuhiro
Tanikawa, Hidenori
Funayama, Atsushi
Fukuda, Kentaro
Bilateral Well Leg Compartment Syndrome Localized in the Anterior and Lateral Compartments following Urologic Surgery in Lithotomy Position
title Bilateral Well Leg Compartment Syndrome Localized in the Anterior and Lateral Compartments following Urologic Surgery in Lithotomy Position
title_full Bilateral Well Leg Compartment Syndrome Localized in the Anterior and Lateral Compartments following Urologic Surgery in Lithotomy Position
title_fullStr Bilateral Well Leg Compartment Syndrome Localized in the Anterior and Lateral Compartments following Urologic Surgery in Lithotomy Position
title_full_unstemmed Bilateral Well Leg Compartment Syndrome Localized in the Anterior and Lateral Compartments following Urologic Surgery in Lithotomy Position
title_short Bilateral Well Leg Compartment Syndrome Localized in the Anterior and Lateral Compartments following Urologic Surgery in Lithotomy Position
title_sort bilateral well leg compartment syndrome localized in the anterior and lateral compartments following urologic surgery in lithotomy position
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261077/
https://www.ncbi.nlm.nih.gov/pubmed/30538877
http://dx.doi.org/10.1155/2018/2328014
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