ABSTRACT
Rhabdomyolysis is most frequently caused by soft tissue injury with trauma to the extremities. Non-traumatic rhabdomyolysis may be caused by alcohol or drug abuse, infection, collagen disease, or intensive exercise, but incidence is low. In particular, rhabdomyolysis resulting from carbon monoxide poisoning is especially rare. If caught before death, carbon monoxide poisoning has been shown to cause severe muscle necrosis and severe muscle damage leading to acute renal failure. In cases of carbon-monoxide-induced rhabdomyolsis leading to acute compartment syndrome in the buttocks and sciatic nerve injury are rare. We have experience treating patients with acute compartment syndrome due to rhabdomyolysis following carbon monoxide poisoning. We report the characteristic features of muscle necrosis observed during a decompression operation and magnetic resonance imaging findings with a one-year follow-up in addition to a review of the literature.
Subject(s)
Humans , Acute Kidney Injury , Buttocks , Carbon Monoxide Poisoning , Carbon Monoxide , Carbon , Collagen Diseases , Compartment Syndromes , Decompression , Extremities , Follow-Up Studies , Incidence , Magnetic Resonance Imaging , Necrosis , Rhabdomyolysis , Sciatic Nerve , Sciatic Neuropathy , Soft Tissue Injuries , Substance-Related DisordersABSTRACT
Rhabdomyolysis is most frequently caused by soft tissue injury with trauma to the extremities. Non-traumatic rhabdomyolysis may be caused by alcohol or drug abuse, infection, collagen disease, or intensive exercise, but incidence is low. In particular, rhabdomyolysis resulting from carbon monoxide poisoning is especially rare. If caught before death, carbon monoxide poisoning has been shown to cause severe muscle necrosis and severe muscle damage leading to acute renal failure. In cases of carbon-monoxide-induced rhabdomyolsis leading to acute compartment syndrome in the buttocks and sciatic nerve injury are rare. We have experience treating patients with acute compartment syndrome due to rhabdomyolysis following carbon monoxide poisoning. We report the characteristic features of muscle necrosis observed during a decompression operation and magnetic resonance imaging findings with a one-year follow-up in addition to a review of the literature.
Subject(s)
Humans , Acute Kidney Injury , Buttocks , Carbon Monoxide Poisoning , Carbon Monoxide , Carbon , Collagen Diseases , Compartment Syndromes , Decompression , Extremities , Follow-Up Studies , Incidence , Magnetic Resonance Imaging , Necrosis , Rhabdomyolysis , Sciatic Nerve , Sciatic Neuropathy , Soft Tissue Injuries , Substance-Related DisordersABSTRACT
Rhabdomyolysis is characterized by the breakdown of skeletal muscle and the subsequent release of intracellular contents into the circulatory system. It is potentially life-threatening because it is sometimes associated with very high creatine kinase levels, myoglobinuria, and acute renal failure. We experienced a case of postoperative rhabdomyolysis after prolonged laparoscopic radical nephrectomy in the semi-lateral decubitus position. It was associated with suspicious gluteal compartment syndrome. Fortunately, the patient's renal function was normal through his hospital course. Rhabdomyolysis is well worth considering at the point of intraoperative positioning and postoperative care after prolonged surgery.
Subject(s)
Acute Kidney Injury , Compartment Syndromes , Creatine Kinase , Muscle, Skeletal , Myoglobinuria , Nephrectomy , Postoperative Care , RhabdomyolysisABSTRACT
Acute gluteal compartment syndrome (AGCS) is a rare condition associated with trauma, drug abuse, alcohol intoxication, prolonged immobilization, hip arthroplasty and epidural anesthesia. We report the case of a 42-year-old woman presenting severe buttock pain following decreased lower extremity motor function after an incident whereby she rolled down a flight of stairs. We performed fasciotomy of the gluteal fascia in order to provide relief from acute gluteal compartment syndrome. At the 2 month follow up visit her sensory and motor function had improved. Acute gluteal compartment syndrome is a rare condition which can result in misdiagnosis or delayed diagnosis. Careful consideration is needed for patients suffering severe buttock pain.
Subject(s)
Adult , Female , Humans , Anesthesia, Epidural , Arthroplasty , Buttocks , Compartment Syndromes , Delayed Diagnosis , Diagnostic Errors , Fascia , Follow-Up Studies , Hip , Immobilization , Lower Extremity , Sciatic Nerve , Stress, Psychological , Substance-Related DisordersABSTRACT
Acute gluteal compartment syndrome (AGCS) is a rare condition associated with trauma, drug abuse, alcohol intoxication, prolonged immobilization, hip arthroplasty and epidural anesthesia. We report the case of a 42-year-old woman presenting severe buttock pain following decreased lower extremity motor function after an incident whereby she rolled down a flight of stairs. We performed fasciotomy of the gluteal fascia in order to provide relief from acute gluteal compartment syndrome. At the 2 month follow up visit her sensory and motor function had improved. Acute gluteal compartment syndrome is a rare condition which can result in misdiagnosis or delayed diagnosis. Careful consideration is needed for patients suffering severe buttock pain.
Subject(s)
Adult , Female , Humans , Anesthesia, Epidural , Arthroplasty , Buttocks , Compartment Syndromes , Delayed Diagnosis , Diagnostic Errors , Fascia , Follow-Up Studies , Hip , Immobilization , Lower Extremity , Sciatic Nerve , Stress, Psychological , Substance-Related DisordersABSTRACT
Gluteal compartment syndrome is a rare disorder which often occurs in conjunction with prolonged immobility after an overdose of sedative. Signs of sciatic nerve compression frequently occur, and rhabdomyolysis may be associated with the syndrome. We recently encountered a patient with lumbosacral plexopathy, complicated by gluteal compartment syndrome. A 42-year-old man presented with weakness and swelling in the right lower extremity and gluteal area after an overdose of antipsychotic drug, accompanied by prolonged immobilization. Serum creatine phosphokinase and urinary myoglobin were markedly elevated, and a T2-weighted pelvis MRI showed hyperintensities and swelling in the gluteal muscles. An electrodiagnosis study showed incomplete lumbosacral plexopathy. The patient received medical treatment and rehabilitation. Six months later, his right lower limb weakness had improved and he could walk independently. Lumbosacral plexus injury with rhabdomyolysis is a rare but debilitating disorder. Therefore, early diagnosis and treatment are crucial for prevention of neurologic deterioration.
Subject(s)
Adult , Humans , Compartment Syndromes , Creatine Kinase , Early Diagnosis , Electrodiagnosis , Immobilization , Lower Extremity , Lumbosacral Plexus , Muscles , Myoglobin , Pelvis , Rhabdomyolysis , Sciatic NerveABSTRACT
Rhabdomyolysis is an acute disorder resulting from skeletal muscle injury in which intracellular contents are released into extracellular space and plasma. The condition may result from drug or alcohol abuse, infection, collagen disease or intensive excersice, trauma and longstanding comatous mentality. We report a case of sciatic nerve palsy complicating gluteal compartment syndrome due to rhabdomyolysis.
Subject(s)
Alcoholism , Collagen Diseases , Compartment Syndromes , Extracellular Space , Muscle, Skeletal , Plasma , Rhabdomyolysis , Sciatic Nerve , Sciatic NeuropathyABSTRACT
A 33-year-old female visited to our hospital complaining of severe painful swelling in her right buttock. Ten hours previously, she had fallen down stairs. Motor power of her ankle and foot were zero to trace and the intracompartment pressure of the gluteal region was 50 mmHg. MRI showed diffuse intramuscular edema of right gluteal muscle. Emergency fasciotomy of the gluteal compartment was per-formed and her neurologic signs gradually improved at a postoperative 24 hours. She recovered completely at postoperative 14 days without further sequelae.