Korean Journal of Nephrology 2009;28(5):496-500.
Gluteal and Thigh Compartment Syndrome due to Rhabdomyolysis Following Prolonged Immobilization : A Case Report
Yong-Hoon Choi, M.D.1, Young-Baek Kim, M.D.1, Su-Young Ahn, M.D.1, Yun-Mi Jang, M.D.1, Bum-Sung Kim, M.D.1, Jung-Hwan Park, M.D.1, Jong-Ho Lee, M.D.1, Seoung-Joon Lee, M.D.2, Sung-En Koh, M.D.3, Ji-Young Oh, M.D.4 and Young-Il Jo, M.D.1
Division of Nephrology, Department of Internal Medicine1
Orthopedic Surgery2
Rehabilitation Medicine3
and Neurology4
Konkuk University School of Medicine, Seoul, Korea
증례 : 장시간의 부동자세에 의한 횡문근융해증으로 유발된 구획증후군 1예
최용훈1, 김영백1, 안수영1, 장윤미1, 김범성1, 박정환1, 이종호1, 이승준2, 고성은3, 오지영4, 조영일1
건국대학교 의학전문대학원 내과학교실1, 정형외과학교실2, 재활의학과학교실3, 신경과학교실4
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.
Key Words: Rhabdomyolysis, Compartment syndrome, Sciatic nerve
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