Korean J Nephrol.  2009 Sep;28(5):496-500.

Gluteal and Thigh Compartment Syndrome due to Rhabdomyolysis Following Prolonged Immobilization: A Case Report

Affiliations
  • 1Division of Nephrology, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea. nephjo@kuh.ac.kr
  • 2Department of Orthopedic Surgery, Konkuk University School of Medicine, Seoul, Korea.
  • 3Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul, Korea.
  • 4Department of Neurology, Konkuk University School of Medicine, Seoul, Korea.

Abstract

Compartment syndrome is rarely associated with non-traumatic rhabdomyolysis. We report the case of a 23-year-old man who developed compartment syndrome associated with rhabdomyolysis caused by prolonged immobilization after antidepressive drug overdose. Elevation of serum creatine phosphokinase and myoglobinuria indicated rhabdomyolysis. Painful swelling of the right buttock and thigh and right lower limb paralysis with sensory and motor deficit were suggestive of gluteal and thigh compartment syndrome with the complication of sciatic nerve injury. The patient received an immediate fasciotomy, medical treatment and rehabilitation. At five months after initial treatment, the patient could walk independently with nearly full recovery of his right lower limb function.

Keyword

Rhabdomyolysis; Compartment syndrome; Sciatic nerve

MeSH Terms

Buttocks
Compartment Syndromes
Creatine Kinase
Drug Overdose
Humans
Immobilization
Lower Extremity
Myoglobinuria
Paralysis
Rhabdomyolysis
Sciatic Nerve
Thigh
Young Adult
Creatine Kinase
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