Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion

Compartment syndrome is a serious condition characterized by raised intracompartmental pressure, which develops following trauma. Well leg compartment syndrome (WLCS) is a term reserved for compartment syndrome in a nontraumatic setting, usually resulting from prolonged lithotomy position during sur...

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Main Authors: Gulsah Karaoren, Nurten Bakan, Senay Goksu Tomruk, Zelin Topaç, Tuhan Kurtulmuş, Saime Irkören
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2016/2718421
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author Gulsah Karaoren
Nurten Bakan
Senay Goksu Tomruk
Zelin Topaç
Tuhan Kurtulmuş
Saime Irkören
author_facet Gulsah Karaoren
Nurten Bakan
Senay Goksu Tomruk
Zelin Topaç
Tuhan Kurtulmuş
Saime Irkören
author_sort Gulsah Karaoren
collection DOAJ
description Compartment syndrome is a serious condition characterized by raised intracompartmental pressure, which develops following trauma. Well leg compartment syndrome (WLCS) is a term reserved for compartment syndrome in a nontraumatic setting, usually resulting from prolonged lithotomy position during surgery. In literature, 8 cases have been reported regarding well leg compartment syndrome in a supine position and bilateral symmetrical involvement was observed in only 2 cases. In WLCS etiology, lengthy surgery, lengthy hypotension, and extremity malpositioning have been held responsible but one of the factors with a role in the etiology may have been the tissue oedema and impaired microcirculation formed from the effect of vasoactive mediators expressed into the circulation associated with the massive blood transfusion. The case is presented here regarding symmetrical lower extremity compartment syndrome after surgery in which massive transfusion was made for gross haemorrhage from an abdominal injury. In conclusion, blood transfusion applied at the required time is life-saving but potential risks must always be considered.
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institution Kabale University
issn 2090-6749
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language English
publishDate 2016-01-01
publisher Wiley
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series Case Reports in Orthopedics
spelling doaj-art-f3af8253f201460caaf0de9e954fe03c2025-02-03T05:48:13ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/27184212718421Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive TransfusionGulsah Karaoren0Nurten Bakan1Senay Goksu Tomruk2Zelin Topaç3Tuhan Kurtulmuş4Saime Irkören5Department of Anaesthesiology and Reanimation, Istanbul Umraniye Training and Research Hospital, Istanbul, TurkeyDepartment of Anaesthesiology and Reanimation, Istanbul Umraniye Training and Research Hospital, Istanbul, TurkeyDepartment of Anaesthesiology and Reanimation, Istanbul Umraniye Training and Research Hospital, Istanbul, TurkeyDepartment of Anaesthesiology and Reanimation, Istanbul Umraniye Training and Research Hospital, Istanbul, TurkeyDepartment of Orthopedic Surgery, Istanbul Umraniye Training and Research Hospital, Istanbul, TurkeyDepartment of Plastic and Reconstructive Surgery, Adnan Menderes University, Aydın, TurkeyCompartment syndrome is a serious condition characterized by raised intracompartmental pressure, which develops following trauma. Well leg compartment syndrome (WLCS) is a term reserved for compartment syndrome in a nontraumatic setting, usually resulting from prolonged lithotomy position during surgery. In literature, 8 cases have been reported regarding well leg compartment syndrome in a supine position and bilateral symmetrical involvement was observed in only 2 cases. In WLCS etiology, lengthy surgery, lengthy hypotension, and extremity malpositioning have been held responsible but one of the factors with a role in the etiology may have been the tissue oedema and impaired microcirculation formed from the effect of vasoactive mediators expressed into the circulation associated with the massive blood transfusion. The case is presented here regarding symmetrical lower extremity compartment syndrome after surgery in which massive transfusion was made for gross haemorrhage from an abdominal injury. In conclusion, blood transfusion applied at the required time is life-saving but potential risks must always be considered.http://dx.doi.org/10.1155/2016/2718421
spellingShingle Gulsah Karaoren
Nurten Bakan
Senay Goksu Tomruk
Zelin Topaç
Tuhan Kurtulmuş
Saime Irkören
Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion
Case Reports in Orthopedics
title Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion
title_full Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion
title_fullStr Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion
title_full_unstemmed Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion
title_short Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion
title_sort bilaterally symmetrical lower extremity compartment syndrome following massive transfusion
url http://dx.doi.org/10.1155/2016/2718421
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