Compartment Syndrome Caused by a Hyperextension Position after Open Radical Cystectomy with Hautmann Ileal Neobladder Construction: A Rare Case of Rhabdomyolysis
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Abstract
Compartment syndrome (CS) is caused by an excessive increase in compartment intramuscular pressure, which measurement is the reference diagnostic tool. We examine the case of a 44yearold man with invasive bladder cancer who underwent an open radical cystectomy. After extubation, the patient is transferred from the operating room to the Intermediate Care Unit, where he complains of severe lumbar pain on a visual analog scale of 10 that is unresponsive to opioids and is diagnosed with rhabdomyolysis due to compartment syndrome. Multidisciplinary care and multimodal analgesia approaches were used; no fasciotomy was performed; and a favourable outcome was achieved.
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[3] Fukuda M, Kawagoe I, Kochiyama T, Ando N, Kudoh O, Satoh D, et al. Well leg compartment syndrome following robot-assisted radical cystectomy in the lithotomy position: a case report. JA Clin Rep. 2021; 7(1):13.
[4] Shadgan B, Menon M, O'Brien PJ, Reid WD. Diagnostic techniques in acute compartment syndrome of the leg. J Orthop Trauma. 2008;22(8):5817
[2] Verdolin MH, Toth AS, Schroeder R. Bilateral lower extremity compartment syndromes following prolonged surgery in the low lithotomy position with serial compression stockings. Anesthesiology. 2000; 92(4):1189-91.
[3] Fukuda M, Kawagoe I, Kochiyama T, Ando N, Kudoh O, Satoh D, et al. Well leg compartment syndrome following robot-assisted radical cystectomy in the lithotomy position: a case report. JA Clin Rep. 2021; 7(1):13.
[4] Shadgan B, Menon M, O'Brien PJ, Reid WD. Diagnostic techniques in acute compartment syndrome of the leg. J Orthop Trauma. 2008;22(8):5817
| Files | ||
| Issue | Vol 9 No 3 (2023): Summer |
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| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v9i3.13126 | |
| Keywords | ||
| Complications Perioperative Medicine Compartment Syndrome Anesthesia | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Comte V, De Carvalho Pavao F, Bovard E, Laswad T. Compartment Syndrome Caused by a Hyperextension Position after Open Radical Cystectomy with Hautmann Ileal Neobladder Construction: A Rare Case of Rhabdomyolysis. Arch Anesth & Crit Care. 2023;9(3):272-274.
