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Lower leg compartment syndrome after appendicectomy.

O'Neill SC, Lui DF, Murphy C, Kiely PJ - Case Rep Orthop (2015)

Bottom Line: A 10-year-old boy presented with severe left lower leg pain, uncontrolled with increasing analgesia after appendicectomy.The patient subsequently underwent an emergency fasciotomy and made a good functional recovery.To the best of our knowledge this is the first reported case of paediatric lower leg compartment syndrome after appendicectomy in the literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric Trauma and Orthopaedics, Our Lady's Children's Hospital Crumlin, Dublin 12, Ireland.

ABSTRACT
A 10-year-old boy presented with severe left lower leg pain, uncontrolled with increasing analgesia after appendicectomy. A diagnosis of acute compartment syndrome was made after a delayed referral to the orthopaedic service. The patient subsequently underwent an emergency fasciotomy and made a good functional recovery. To the best of our knowledge this is the first reported case of paediatric lower leg compartment syndrome after appendicectomy in the literature. The case report serves to highlight the importance of maintaining a high index of suspicion for compartment syndrome.

No MeSH data available.


Related in: MedlinePlus

Medial fasciotomy of left lower leg.
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fig1: Medial fasciotomy of left lower leg.

Mentions: Immediate preoperative compartment pressure was measured using the Intracompartmental Pressure Monitor (Stryker). All four lower leg compartments had delta pressure readings (defined as diastolic blood pressure − intracompartmental pressure) less than 30 mmHg, which was diagnostic of compartment syndrome. A standard two-incision (medial and lateral) fasciotomy was performed decompressing all four compartments (Figures 1 and 2). The muscle tissue appeared viable at the initial fasciotomy and subsequent wound reviews revealed no evidence of necrotic tissue. The patient underwent three partial closure procedures before the fasciotomy wounds were definitively closed on day 12.


Lower leg compartment syndrome after appendicectomy.

O'Neill SC, Lui DF, Murphy C, Kiely PJ - Case Rep Orthop (2015)

Medial fasciotomy of left lower leg.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4338393&req=5

fig1: Medial fasciotomy of left lower leg.
Mentions: Immediate preoperative compartment pressure was measured using the Intracompartmental Pressure Monitor (Stryker). All four lower leg compartments had delta pressure readings (defined as diastolic blood pressure − intracompartmental pressure) less than 30 mmHg, which was diagnostic of compartment syndrome. A standard two-incision (medial and lateral) fasciotomy was performed decompressing all four compartments (Figures 1 and 2). The muscle tissue appeared viable at the initial fasciotomy and subsequent wound reviews revealed no evidence of necrotic tissue. The patient underwent three partial closure procedures before the fasciotomy wounds were definitively closed on day 12.

Bottom Line: A 10-year-old boy presented with severe left lower leg pain, uncontrolled with increasing analgesia after appendicectomy.The patient subsequently underwent an emergency fasciotomy and made a good functional recovery.To the best of our knowledge this is the first reported case of paediatric lower leg compartment syndrome after appendicectomy in the literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric Trauma and Orthopaedics, Our Lady's Children's Hospital Crumlin, Dublin 12, Ireland.

ABSTRACT
A 10-year-old boy presented with severe left lower leg pain, uncontrolled with increasing analgesia after appendicectomy. A diagnosis of acute compartment syndrome was made after a delayed referral to the orthopaedic service. The patient subsequently underwent an emergency fasciotomy and made a good functional recovery. To the best of our knowledge this is the first reported case of paediatric lower leg compartment syndrome after appendicectomy in the literature. The case report serves to highlight the importance of maintaining a high index of suspicion for compartment syndrome.

No MeSH data available.


Related in: MedlinePlus