Acute Compartment Syndrome after Anticoagulant Therapy to Misdiagnosed Deep Vein Thrombosis
10.4055/jkoa.2019.54.2.177
- Author:
Seok Ha HWANG
1
;
Ho Seung JEON
;
Young Kyun WOO
;
Seong Tae LIM
Author Information
1. Department of Orthopedic Surgery, Sung-Ae Hospital, Seoul, Korea. j9422hs@hanmail.net
- Publication Type:Case Report
- Keywords:
compartment syndrome;
deep vein thrombosis;
anticoagulant therapy;
fasciotomy
- MeSH:
Compartment Syndromes;
Diagnosis, Differential;
Emergencies;
Humans;
Leg;
Lower Extremity;
Massage;
Necrosis;
Orthopedics;
Renal Insufficiency;
Venous Thrombosis
- From:The Journal of the Korean Orthopaedic Association
2019;54(2):177-181
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute compartment syndrome, which is an orthopedic emergency, induces irreversible tissue necrosis by increasing the compartment pressure. In serious cases, this event may result in functional impairment, loss of the lower limb, and death by renal failure. When the patient initially presents with pain and swelling that are similar to deep vein thrombosis, a differential diagnosis between the two diseases is very critical. The authors encountered a case of acute compartment syndrome after anticoagulant therapy in a patient presenting with painful swelling of the left leg following a massage that was initially misdiagnosed as deep vein thrombosis. A fasciotomy was performed on this case with satisfactory results. This paper reports this case with a review of the relevant literature.
