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Case Reports
. 2015 Feb 8:8:35.
doi: 10.1186/s13104-015-1003-5.

Gluteal compartment syndrome following drug-induced immobilization: a case report

Andreas Christos Panagiotopoulos  1 , Ioannis Vrachnis  2 , Pantelis Kraniotis  3 , Minos Tyllianakis  4
Affiliations
Case Reports

Gluteal compartment syndrome following drug-induced immobilization: a case report

Andreas Christos Panagiotopoulos et al. BMC Res Notes. .

Abstract

Background: Gluteal compartment syndrome is a very rare condition characterized by non-specific symptoms that often lead to misdiagnosis.

Case presentation: We report a case of gluteal compartment syndrome in a 38 year-old Caucasian male (intravenous drug user) following prolonged immobilization due to loss of consciousness. The delay in the appropriate diagnosis and treatment led to a temporary acute kidney injury and to irreversible sciatic nerve palsy.

Conclusion: Delay in the definitive diagnosis and treatment of gluteal compartment syndrome, may lead to higher morbidity of the affected extremity and in rare cases even patient mortality. Special emphasis is given to the aetiology, symptomatology, differential diagnosis as well as the treatment of this condition.

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Figures

Figure 1
Figure 1
Transverse CT scan at the level of the iliac crests. Left gluteus maximus and medius enlargement.
Figure 2
Figure 2
Transverse CT scan at the level of the femoral neck. Left gluteal muscles enlargement.
See this image and copyright information in PMC

References

    1. Hargens AR, Romine JS, Sipe JC, Evans KL, Mubarak SJ, Akeson WH. Peripheral nerve-conduction block by high muscle-compartment pressure. J Bone Joint Surg Am. 1979;61(2):192–200. - PubMed
    1. Ojike NI, Roberts CS, Giannoudis PV. Pelvic compartment syndrome: a systematic review. Acta Orthop Belg. 2012;78(1):6–10. - PubMed
    1. Kumar V, Saeed K, Panagopoulos A, Parker PJ. Gluteal compartment syndrome following joint arthroplasty under epidural anaesthesia: a report of 4 cases. J Orthop Surg (Hong Kong) 2007;15(1):113–7. - PubMed
    1. Chochola M, Lubanda JC, Skalicka L, Varejka P, Horejs J, Prskavec T, et al. Bilateral leg compartment syndrome due to severe myonecrosis caused by inappropriate use of simvastatin. J Mal Vasc. 2008;33(4–5):229–33. doi: 10.1016/j.jmv.2008.07.092. - DOI - PubMed
    1. Franc-Law JM, Rossignol M, Vernec A, Somogyi D, Shrier I. Poisoning- induced acute atraumatic compartment syndrome. Am J Emerg Med. 2000;18(5):616–21. doi: 10.1053/ajem.2000.9271. - DOI - PubMed

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