Gluteal Compartment Syndrome following bariatric surgery: A rare but important complication

Abstract

Gluteal Compartment Syndrome is a rare condition caused by excessive pressure within the gluteal compartments which leads to a number of potentially serious sequelae including rhabdomyolysis, nerve damage, renal failure and death. As bariatric patients are heavy and during prolonged bariatric procedures lie in one position for extended periods of time, they are especially susceptible to developing this complication. It is therefore essential that bariatric surgeons are aware of this complication and how to minimise the chances of it occurring and how to diagnose it. We describe a case of Gluteal Compartment Syndrome in a patient following a gastric bypass and review the aetiology, pathophysiology, treatment and prevention of this complication.

Risk of Anticoagulation in Gluteal Compartment Syndrome After Surgical Intervention

“…The most common etiology is perioperative immobilization. In the postoperative course, these periods of restraint increase the pressure applied to the gluteal compartment, leading to ischemia, edema, and the subsequent development of acute compartment syndrome [14][15][16][17]. The perioperative features associated with the emergence of gluteal compartment syndrome encompass the length of the surgical procedure, patient body habitus, use of epidural anesthesia, and positioning during the operation [4].…”

‘A pain in the buttock’: A case report of gluteal compartment syndrome after robotic partial nephrectomy

“… BMI: body mass index; AAA: abdominal aortic aneurysm; BMI: body mass index; EVAR: endovascular aneurysm repair; NR: not reported. References: Benevides & Nochi Júnior (2006); Cameron-Gagné et al (2018); Chew et al (2009); Hau et al (2016); Keene et al (2010); Kumar et al (2007); Matta & Kelley (2014); Mohanty et al (2019); O’Leary et al (2010); Oates et al (2016); Osteen & Haque (2012); Pereira & Heath (2015); Polacek et al (2009); Pua et al (2005); Reisiger et al (2005); Rudolph et al (2011); Sarwar & Ting (2017); Somayaji et al (2005); Ting et al (2015); Viviani et al (2016). …”

Gluteal compartment syndrome following alcohol intoxication: Case report and literature review

“…Gluteal CS is rare and often associated with prolonged immobilization and direct pressure after drug abuse [4]. Other causes of gluteal CS involve immobilization during/after surgeries like aortic dissection repairs, bariatric surgery and direct trauma [[5], [6], [7]]. Sarwar et al describe the case in which a patient presented with gluteal CS following microsurgery to the hand, which had never been documented.…”