Skeletal Muscle Lymphoma Presenting with Chronic Compartment Syndrome of Leg after Trauma

Compartment syndrome may be acute or chronic based on the clinical course and etiology. Here, we report the first known case to be diagnosed with skeletal muscle-derived B-cell lymphoma presenting with chronic compartment syndrome after trauma. A 62-year-old woman sought medical attention due to a o...

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Main Authors: Jhong-You Li, Chung-Liang Li, Chun-Kuan Lu
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2018/4078672
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author Jhong-You Li
Chung-Liang Li
Chun-Kuan Lu
author_facet Jhong-You Li
Chung-Liang Li
Chun-Kuan Lu
author_sort Jhong-You Li
collection DOAJ
description Compartment syndrome may be acute or chronic based on the clinical course and etiology. Here, we report the first known case to be diagnosed with skeletal muscle-derived B-cell lymphoma presenting with chronic compartment syndrome after trauma. A 62-year-old woman sought medical attention due to a one-month history of painful left lower leg swelling and paresthesia of the medial side of the foot after falling over. The patient underwent fasciotomy and debridement under the preoperative diagnosis of fasciitis and myositis with associated compressive neuropathy. Preoperative laboratory tests were within normal limits. Postoperative pathologic examination and bone marrow aspiration revealed B-cell lymphoma with bone marrow involvement postoperatively. Tumor lysis syndrome took place, presenting with drowsiness, poor appetite, and oliguria, after the operation along with multiple organ failure. Awareness of the differential diagnoses of compartment syndrome in such clinical situation is crucial because it may lead to different examination and treatment plan preoperatively.
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series Case Reports in Oncological Medicine
spelling doaj-art-f7b43b21b8044dcfa8b7dcd97d333efd2025-02-03T05:44:10ZengWileyCase Reports in Oncological Medicine2090-67062090-67142018-01-01201810.1155/2018/40786724078672Skeletal Muscle Lymphoma Presenting with Chronic Compartment Syndrome of Leg after TraumaJhong-You Li0Chung-Liang Li1Chun-Kuan Lu2Kaohsiung Medical University Hospital, No. 100 Tzyou 1st Road, Kaohsiung 807, TaiwanKaohsiung Medical University Hospital, No. 100 Tzyou 1st Road, Kaohsiung 807, TaiwanKaohsiung Medical University Hospital, No. 100 Tzyou 1st Road, Kaohsiung 807, TaiwanCompartment syndrome may be acute or chronic based on the clinical course and etiology. Here, we report the first known case to be diagnosed with skeletal muscle-derived B-cell lymphoma presenting with chronic compartment syndrome after trauma. A 62-year-old woman sought medical attention due to a one-month history of painful left lower leg swelling and paresthesia of the medial side of the foot after falling over. The patient underwent fasciotomy and debridement under the preoperative diagnosis of fasciitis and myositis with associated compressive neuropathy. Preoperative laboratory tests were within normal limits. Postoperative pathologic examination and bone marrow aspiration revealed B-cell lymphoma with bone marrow involvement postoperatively. Tumor lysis syndrome took place, presenting with drowsiness, poor appetite, and oliguria, after the operation along with multiple organ failure. Awareness of the differential diagnoses of compartment syndrome in such clinical situation is crucial because it may lead to different examination and treatment plan preoperatively.http://dx.doi.org/10.1155/2018/4078672
spellingShingle Jhong-You Li
Chung-Liang Li
Chun-Kuan Lu
Skeletal Muscle Lymphoma Presenting with Chronic Compartment Syndrome of Leg after Trauma
Case Reports in Oncological Medicine
title Skeletal Muscle Lymphoma Presenting with Chronic Compartment Syndrome of Leg after Trauma
title_full Skeletal Muscle Lymphoma Presenting with Chronic Compartment Syndrome of Leg after Trauma
title_fullStr Skeletal Muscle Lymphoma Presenting with Chronic Compartment Syndrome of Leg after Trauma
title_full_unstemmed Skeletal Muscle Lymphoma Presenting with Chronic Compartment Syndrome of Leg after Trauma
title_short Skeletal Muscle Lymphoma Presenting with Chronic Compartment Syndrome of Leg after Trauma
title_sort skeletal muscle lymphoma presenting with chronic compartment syndrome of leg after trauma
url http://dx.doi.org/10.1155/2018/4078672
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