Gluteal Compartment Syndrome following an Iliac Bone Marrow Aspiration
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 irre...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2013/812172 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832545570509553664 |
|---|---|
| author | Edmundo Berumen-Nafarrate Carlos Vega-Najera Carlos Leal-Contreras Irene Leal-Berumen |
| author_facet | Edmundo Berumen-Nafarrate Carlos Vega-Najera Carlos Leal-Contreras Irene Leal-Berumen |
| author_sort | Edmundo Berumen-Nafarrate |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-48f2b333670441d293d9cca4dda27bce |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-48f2b333670441d293d9cca4dda27bce2025-02-03T07:25:22ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/812172812172Gluteal Compartment Syndrome following an Iliac Bone Marrow AspirationEdmundo Berumen-Nafarrate0Carlos Vega-Najera1Carlos Leal-Contreras2Irene Leal-Berumen3Orthopaedic Surgery Department, Christus Muguerza del Parque, Calle de la Llave 1419, Office 9, Col. Centro, 31000 Chihuahua, MexicoOrthopaedic Surgery Department, Christus Muguerza del Parque, Calle de la Llave 1419, Office 9, Col. Centro, 31000 Chihuahua, MexicoOrthopaedic Surgery Department, Universidad del Bosque, Calle 1345 No. 7b-83, Office 1016, Bogota DC, ColombiaFaculty of Medicine, Universidad Autónoma de Chihuahua, Circuito Universitario Campus II, Chihuahua, MexicoThe 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.http://dx.doi.org/10.1155/2013/812172 |
| spellingShingle | Edmundo Berumen-Nafarrate Carlos Vega-Najera Carlos Leal-Contreras Irene Leal-Berumen Gluteal Compartment Syndrome following an Iliac Bone Marrow Aspiration Case Reports in Orthopedics |
| title | Gluteal Compartment Syndrome following an Iliac Bone Marrow Aspiration |
| title_full | Gluteal Compartment Syndrome following an Iliac Bone Marrow Aspiration |
| title_fullStr | Gluteal Compartment Syndrome following an Iliac Bone Marrow Aspiration |
| title_full_unstemmed | Gluteal Compartment Syndrome following an Iliac Bone Marrow Aspiration |
| title_short | Gluteal Compartment Syndrome following an Iliac Bone Marrow Aspiration |
| title_sort | gluteal compartment syndrome following an iliac bone marrow aspiration |
| url | http://dx.doi.org/10.1155/2013/812172 |
| work_keys_str_mv | AT edmundoberumennafarrate glutealcompartmentsyndromefollowinganiliacbonemarrowaspiration AT carlosveganajera glutealcompartmentsyndromefollowinganiliacbonemarrowaspiration AT carloslealcontreras glutealcompartmentsyndromefollowinganiliacbonemarrowaspiration AT irenelealberumen glutealcompartmentsyndromefollowinganiliacbonemarrowaspiration |