Gluteal compartment syndrome with severe rhabdomyolysis

Narayan, Nitisha; Griffiths, M.; Patel, Hasu

doi:10.1136/bcr-2013-010370

Cited by 13 publications

(10 citation statements)

References 4 publications

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“…Given its prevalence, obtaining a history of substance use is a critical part of a rhabdomyolysis evaluation. Furthermore, since patients with rhabdomyolysis can present in an obtunded and comatose state as a result of toxic and metabolic exposures 8, 29, 30, 43 , clinicians should have a low clinical threshold to suspect rhabdomyolysis in this setting and screen for this condition by checking serum CK.…”

Section: Acquired Causes Of Rhabdomyolysismentioning

confidence: 99%

Diagnostic evaluation of rhabdomyolysis

2015

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Rhabdomyolysis is characterized by severe acute muscle injury resulting in muscle pain, weakness, and/or swelling with release of myofiber contents into the bloodstream. Symptoms develop over hours to days following an inciting factor and may be associated with dark pigmentation of the urine. Serum creatine kinase and urine myoglobin levels are markedly elevated. The clinical examination, history, laboratory studies, muscle biopsy, and genetic testing are useful tools for diagnosis of rhabdomyolysis, and they can help differentiate acquired from inherited causes of rhabdomyolysis. Acquired causes include substance abuse, medication or toxic exposures, electrolyte abnormalities, endocrine disturbance, and autoimmune myopathies. Inherited predisposition to rhabdomyolysis can occur with disorders of glycogen metabolism, fatty acid beta-oxidation, and mitochondrial oxidative phosphorylation. Less common inherited causes of rhabdomyolysis include structural myopathies, channelopathies, and sickle cell disease. This review focuses on the differentiation of acquired and inherited causes of rhabdomyolysis and proposes a practical diagnostic algorithm.

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Section: Acquired Causes Of Rhabdomyolysismentioning

confidence: 99%

Diagnostic evaluation of rhabdomyolysis

2015

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“…The loss of consciousness is the major contributing factor that leads the patients to have no control over how they land, causing them to immobilize with unorthodox stances on hard surfaces. Prolonged immobilization with compression promotes increased intracompartmental pressure in the muscle in these unusual locations [13]. Continued physical examination becomes very important for the early recognition of these uncommon syndromes [10].…”

Section: Figure 1: Muscle Bulge After Fasciotomy Of Gluteal Compartmementioning

confidence: 99%

Gluteal Compartment Syndrome After Prolonged Immobilization in Drug Abusers

Gupta

Burgos

Lopez-Viego

et al. 2020

Cureus

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Background There has been an increasing incidence of drug abuse patients presenting with rhabdomyolysis after prolonged immobilization. Our study was to assess etiology and management challenges with patients presenting with gluteal compartment syndrome after drug abuse. Methodology We did a retrospective analysis of five patients who presented with gluteal compartment syndrome secondary to drug abuse over one year. Results We had a 100% association with rhabdomyolysis and acute renal injury necessitating hemodialysis. There was a frequent association with the involvement of additional compartments like thigh and leg. Conclusion Patients with drug overdose can present with unusual compartment syndrome involvement like the gluteal compartment. Compartment syndrome is a surgical emergency and needs multidisciplinary involvement.

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“…Acute CS is a surgical emergency that can result in ischemia, limb loss, and possibly death [2][3]. In this case, a 24 yr old African-American male with a past medical history of smoking and illicit drug use presented to the ER of a level 1 trauma center with complaints of right buttock pain and profound right leg weakness, which he initially claimed resulted from being involved in a motor vehicle collision.…”

Section: Case Presentationmentioning

confidence: 99%

Case study: Gluteal compartment syndrome as a cause of lumbosacral radiculoplexopathy and complex regional pain syndrome

Lederman¹,

Turk²,

Howard³

et al. 2016

J Rehabil Res Dev

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Abstract-We present the case of a 24 yr old male who was diagnosed with gluteal compartment syndrome and was subsequently found to have developed lumbosacral radiculoplexopathy and complex regional pain syndrome. The patient's gluteal compartment syndrome was diagnosed within 24 h of presentation to the emergency room, and he underwent emergent compartment release. While recovering postoperatively, persistent weakness was noted in the right lower limb. Results of electrodiagnostic testing were consistent with a lumbosacral radiculoplexopathy. After admission to inpatient rehabilitation, the patient complained of pain, burning sensation, and numbness in the distal right lower limb. Based on clinical findings, he was diagnosed with complex regional pain syndrome type II, or causalgia, and was referred for a lumbar sympathetic block under fluoroscopic guidance. Sympathetic block resulted in relief of the patient's symptoms. He was discharged home with good pain control on oral medications.

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Gluteal compartment syndrome with severe rhabdomyolysis

Cited by 13 publications

References 4 publications

Diagnostic evaluation of rhabdomyolysis

Diagnostic evaluation of rhabdomyolysis

Gluteal Compartment Syndrome After Prolonged Immobilization in Drug Abusers

Case study: Gluteal compartment syndrome as a cause of lumbosacral radiculoplexopathy and complex regional pain syndrome

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