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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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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 |
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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 |
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