Spontaneous compartment syndrome in a patient with diabetes and statin administration: a case report

Gluteal compartment syndrome (GCS) is extremely rare, with a low index of suspicion among physicians, hence, it is highly overlooked. The underdiagnosis can lead to irreversible tissue ischemia and severe neurological deficits. GCS is a surgical emergency and requires immediate surgical intervention given its high morbidity and mortality. Based on the limited available literature, multiple etiologies have been postulated including traumatic and nontraumatic causes. This article presents a complex and unusual case of GCS after prolonged immobilization in an IV drug abuser who was subjected to initial missed diagnosis.

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“…Hence to prevent such sequelae aggressive fluid resuscitation and urine alkalinization can be utilized [9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Sciatic Nerve Injury Secondary to a Gluteal Compartment Syndrome

Hanandeh

Shamia

Ramcharan

2020

Cureus

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“…Spontaneous compartment syndrome following DM is extremely rare and very few cases have been reported in the literature affecting the leg but none in the thigh muscles [15][16][17][18][19]. In all the cases following fasciotomy, patients ended up with either foot drop or weak dorsiflexion and prolonged rehabilitation times.…”

Section: Discussionmentioning

confidence: 99%

Diabetic Myonecrosis Mimicking Acute Compartment Syndrome of the Thigh

Hachem¹

2017

MOJOR

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“…There are also some reports of GCS associated with the use of Statin [9, 10]. Trauma and hematomas are rarely reported.…”

Section: Discussionmentioning

confidence: 99%

Gluteal Compartment Syndrome following an Iliac Bone Marrow Aspiration

Nafarrate¹,

Vega-Najera²,

Leal-Contreras

et al. 2013

Case Reports in Orthopedics

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The compartment syndrome is a condition characterized by a raised hydraulic pressure within a closed and non expandable anatomical space. It leads to a vascular insufficiency that becomes critical once the vascular flow cannot return the fluids back to the venous system. This causes a potential irreversible damage of the contents of the compartment, especially within the muscle tissues. Gluteal compartment syndrome (GCS) secondary to hematomas is seldom reported. Here we present a case of a 51-year-old patient with history of a non-Hodgkin lymphoma who underwent a bone marrow aspiration from the posterior iliac crest that had excessive bleeding at the puncture zone. The patient complained of increasing pain, tenderness, and buttock swelling. Intraoperative pressure validation of the gluteal compartment was performed, and a GCS was diagnosed. The patient was treated with a gluteal region fasciotomy. The patient recovered from pain and swelling and was discharged shortly after from the hospital. We believe clotting and hematologic disorders are a primary risk factor in patients who require bone marrow aspirations or biopsies. It is important to improve awareness of GCS in order to achieve early diagnosis, avoid complications, and have a better prognosis.

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Spontaneous compartment syndrome in a patient with diabetes and statin administration: a case report

Cited by 13 publications

References 13 publications

Sciatic Nerve Injury Secondary to a Gluteal Compartment Syndrome

Sciatic Nerve Injury Secondary to a Gluteal Compartment Syndrome

Diabetic Myonecrosis Mimicking Acute Compartment Syndrome of the Thigh

Gluteal Compartment Syndrome following an Iliac Bone Marrow Aspiration

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