Gluteal and Thigh Compartment Syndrome due to Rhabdomyolysis Following Prolonged Immobilization: A Case Report.
- Author:
Yong Hoon CHOI
1
;
Young Baek KIM
;
Su Young AHN
;
Yun Mi JANG
;
Bum Sung KIM
;
Jung Hwan PARK
;
Jong Ho LEE
;
Seoung Joon LEE
;
Sung En KOH
;
Ji Young OH
;
Young Il JO
Author Information
1. Division of Nephrology, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea. nephjo@kuh.ac.kr
- Publication Type:Case Report
- Keywords:
Rhabdomyolysis;
Compartment syndrome;
Sciatic nerve
- MeSH:
Buttocks;
Compartment Syndromes;
Creatine Kinase;
Drug Overdose;
Humans;
Immobilization;
Lower Extremity;
Myoglobinuria;
Paralysis;
Rhabdomyolysis;
Sciatic Nerve;
Thigh;
Young Adult
- From:Korean Journal of Nephrology
2009;28(5):496-500
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Compartment syndrome is rarely associated with non-traumatic rhabdomyolysis. We report the case of a 23-year-old man who developed compartment syndrome associated with rhabdomyolysis caused by prolonged immobilization after antidepressive drug overdose. Elevation of serum creatine phosphokinase and myoglobinuria indicated rhabdomyolysis. Painful swelling of the right buttock and thigh and right lower limb paralysis with sensory and motor deficit were suggestive of gluteal and thigh compartment syndrome with the complication of sciatic nerve injury. The patient received an immediate fasciotomy, medical treatment and rehabilitation. At five months after initial treatment, the patient could walk independently with nearly full recovery of his right lower limb function.
