Format

Send to

Choose Destination
See comment in PubMed Commons below
BMJ Case Rep. 2017 Jul 27;2017. pii: bcr-2017-220218. doi: 10.1136/bcr-2017-220218.

Postoperative gluteal compartment syndrome following microsurgical free-flap hand reconstruction: the importance of early recognition and treatment.

Author information

1
Department of Plastic Surgery, Pinderfields General Hospital, Wakefield, UK.
2
Department of Trauma and Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK.

Abstract

Compartment syndrome, a surgical emergency, is caused by an increase in pressure within a closed osseofascial space, often due to trauma. This causes a decrease in tissue perfusion and ultimately tissue necrosis and multiorgan failure if not treated in a timely fashion. Gluteal compartment syndrome is a rare variant and often caused by a period of immobilisation secondary to intoxication with alcohol or drugs or during long operations, typically in the supine position. We report on a case of gluteal compartment syndrome developing in a patient postoperatively following a long microsurgical procedure to a hand, which has not been documented before. Although rare, we highlight the clinical course and diagnostic criteria, which are essential for early identification and treatment.

KEYWORDS:

medical education; orthopaedic and trauma surgery; pain; plastic and reconstructive surgery; trauma

PMID:
28754750
DOI:
10.1136/bcr-2017-220218

Conflict of interest statement

Competing interests: None declared.

PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire
    Loading ...
    Support Center