Cargando…

Gluteal compartment syndrome after laparoscopic surgery in lateral jackknife position: a case report

We present a case of a 42-year-old obese female with a body mass index of 38.4 kg/m(2). Laparoscopic tumor resection of a left nonfunctioning adrenal tumor was performed in the lateral jackknife position, and the operative time was over 5 h. After awakening, she complained right buttock pain, and we...

Descripción completa

Detalles Bibliográficos
Autores principales: Watabe, Daisuke, Nishino, Tomofumi, Mishima, Hajime, Yamazaki, Masashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9581502/
https://www.ncbi.nlm.nih.gov/pubmed/36285171
http://dx.doi.org/10.1093/jscr/rjac477
_version_ 1784812639396823040
author Watabe, Daisuke
Nishino, Tomofumi
Mishima, Hajime
Yamazaki, Masashi
author_facet Watabe, Daisuke
Nishino, Tomofumi
Mishima, Hajime
Yamazaki, Masashi
author_sort Watabe, Daisuke
collection PubMed
description We present a case of a 42-year-old obese female with a body mass index of 38.4 kg/m(2). Laparoscopic tumor resection of a left nonfunctioning adrenal tumor was performed in the lateral jackknife position, and the operative time was over 5 h. After awakening, she complained right buttock pain, and we suspected bursitis due to the surgical position and decided to follow up the patient. On the second postoperative day, spontaneous pain worsened, and the computed tomography scan of the hip showed significant swelling of the gluteal muscles, which led us to suspect a gluteal compartment syndrome. Intramuscular compartment pressure was measured under general anesthesia at 72 mmHg, and a fasciotomy was performed. The symptoms improved promptly after surgery and completely disappeared 2 months after surgery. Although the gluteal compartment syndrome is a rare condition in which circulation is impaired by compression of the gluteal muscles, treatment should be initiated promptly before serious complications arise.
format Online
Article
Text
id pubmed-9581502
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-95815022022-10-24 Gluteal compartment syndrome after laparoscopic surgery in lateral jackknife position: a case report Watabe, Daisuke Nishino, Tomofumi Mishima, Hajime Yamazaki, Masashi J Surg Case Rep Case Report We present a case of a 42-year-old obese female with a body mass index of 38.4 kg/m(2). Laparoscopic tumor resection of a left nonfunctioning adrenal tumor was performed in the lateral jackknife position, and the operative time was over 5 h. After awakening, she complained right buttock pain, and we suspected bursitis due to the surgical position and decided to follow up the patient. On the second postoperative day, spontaneous pain worsened, and the computed tomography scan of the hip showed significant swelling of the gluteal muscles, which led us to suspect a gluteal compartment syndrome. Intramuscular compartment pressure was measured under general anesthesia at 72 mmHg, and a fasciotomy was performed. The symptoms improved promptly after surgery and completely disappeared 2 months after surgery. Although the gluteal compartment syndrome is a rare condition in which circulation is impaired by compression of the gluteal muscles, treatment should be initiated promptly before serious complications arise. Oxford University Press 2022-10-19 /pmc/articles/PMC9581502/ /pubmed/36285171 http://dx.doi.org/10.1093/jscr/rjac477 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2022. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Watabe, Daisuke
Nishino, Tomofumi
Mishima, Hajime
Yamazaki, Masashi
Gluteal compartment syndrome after laparoscopic surgery in lateral jackknife position: a case report
title Gluteal compartment syndrome after laparoscopic surgery in lateral jackknife position: a case report
title_full Gluteal compartment syndrome after laparoscopic surgery in lateral jackknife position: a case report
title_fullStr Gluteal compartment syndrome after laparoscopic surgery in lateral jackknife position: a case report
title_full_unstemmed Gluteal compartment syndrome after laparoscopic surgery in lateral jackknife position: a case report
title_short Gluteal compartment syndrome after laparoscopic surgery in lateral jackknife position: a case report
title_sort gluteal compartment syndrome after laparoscopic surgery in lateral jackknife position: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9581502/
https://www.ncbi.nlm.nih.gov/pubmed/36285171
http://dx.doi.org/10.1093/jscr/rjac477
work_keys_str_mv AT watabedaisuke glutealcompartmentsyndromeafterlaparoscopicsurgeryinlateraljackknifepositionacasereport
AT nishinotomofumi glutealcompartmentsyndromeafterlaparoscopicsurgeryinlateraljackknifepositionacasereport
AT mishimahajime glutealcompartmentsyndromeafterlaparoscopicsurgeryinlateraljackknifepositionacasereport
AT yamazakimasashi glutealcompartmentsyndromeafterlaparoscopicsurgeryinlateraljackknifepositionacasereport