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Case Reports
. 2021 Aug 25:35:100528.
doi: 10.1016/j.tcr.2021.100528. eCollection 2021 Oct.

Symptomatic hernia of the thigh musculature requiring reconstruction: A rare late presenting sequela after fascial release for compartment syndrome

Neel Vishwanath  1 , Vinay Rao  1 , Marten N Basta  1 , Scott T Schmidt  1 , Loree K Kalliainen  1
Affiliations
Case Reports

Symptomatic hernia of the thigh musculature requiring reconstruction: A rare late presenting sequela after fascial release for compartment syndrome

Neel Vishwanath et al. Trauma Case Rep. .

Erratum in

Abstract

Acute compartment syndrome (ACS) of the lower extremity is a surgical emergency, often secondary to severe crush injury, and requires immediate fascial release. In treatment of ACS, the underlying fascia is left unrepaired and the subsequent fascial defect does not generally cause negative consequences. Here, we present a 24-year-old man who developed symptomatic muscle herniation 3-years after undergoing fascial release secondary to ACS of the anterior thigh. Given the size of the defect, reconstruction was performed using Acellular Dermal Matrix (ADM). The patient did well, with no complications 6 months postoperatively. Symptomatic muscle herniation following fasciotomy can be treated with hernia reduction and fascial repair. When primary closure is not possible, Acelluar Dermal Matrix (ADM) is an option for successful fascial reconstruction.

Keywords: Acellular dermal matrix; Acute compartment syndrome; Fasciotomy; Lower extremity trauma; Thigh hernia.

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Conflict of interest statement

None of the authors have conflicts of interest to disclose.

Figures

Fig. 1
Fig. 1
Thigh hernia at site of anterior compartment fasciotomy. A. Left leg lateral view B. Left leg anterior view.
Fig. 2
Fig. 2
A. Intraoperative photo of fascial defect B. Attempted primary closure of fascial defect.
Fig. 3
Fig. 3
Fascial defect after reconstruction with acellular dermal matrix (ADM).
Fig. 4
Fig. 4
Postoperative follow up with resolution of hernia bulge. A. Left leg lateral view B. Left leg anterior view, both 6.5 weeks postoperative.
See this image and copyright information in PMC

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