Compartment syndrome is a common problem in trauma patients. It can occur within any space bound by a dense fascial layer, such as the extremities or abdomen. It exists when increased tissue pressure within the limited anatomic space compromises perfusion. Failure to decompress the compartment leads to a self-perpetuating ischemia-edema process and resultant irreversible tissue damage. In the extremities, it typically arises from a vascular injury in that same extremity. Herein is reported a case of the unexpected development of compartment syndrome in multiple uninjured extremities in a trauma patient with hypotension requiring systemic vasopressors.
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References
1.
ForrestI, LindsayT, RomaschinA, WalkerP. The rate and distribution of muscle blood flow after prolonged ischemia. J Vasc Surg1989;10:83.
SkyharMJ, HargensAR, StraussMB, . Hyperbaric oxygen reduces edema and necrosis of skeletal muscle in compartment syndromes associated with hemorrhagic hypotension. J Bone Jt Surg1986;68:1218–24.
10.
ZweifachSS, HargensAR, EvansKL, . Skeletal muscle necrosis in pressurized compartments associated with hemorrhagic hypotension. J Trauma1980;20:941–7.
