J Korean Orthop Assoc.  2019 Apr;54(2):177-181. 10.4055/jkoa.2019.54.2.177.

Acute Compartment Syndrome after Anticoagulant Therapy to Misdiagnosed Deep Vein Thrombosis

Affiliations
  • 1Department of Orthopedic Surgery, Sung-Ae Hospital, Seoul, Korea. j9422hs@hanmail.net

Abstract

Acute compartment syndrome, which is an orthopedic emergency, induces irreversible tissue necrosis by increasing the compartment pressure. In serious cases, this event may result in functional impairment, loss of the lower limb, and death by renal failure. When the patient initially presents with pain and swelling that are similar to deep vein thrombosis, a differential diagnosis between the two diseases is very critical. The authors encountered a case of acute compartment syndrome after anticoagulant therapy in a patient presenting with painful swelling of the left leg following a massage that was initially misdiagnosed as deep vein thrombosis. A fasciotomy was performed on this case with satisfactory results. This paper reports this case with a review of the relevant literature.

Keyword

compartment syndrome; deep vein thrombosis; anticoagulant therapy; fasciotomy
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