[Compartment syndrome in both lower legs after prolonged surgery in the lithotomy position].
A 35-year-old man developed bilateral compartment syndrome in the lower legs after prolonged colorectal surgery in the lithotomy position. This complication of a prolonged non-physiological operation position is a rare event and the diagnosis is therefore often delayed, with sometimes serious irreversible neuromuscular damage. In this case the complication was successfully treated by four-compartment fasciotomy and forced diuresis (to prevent renal insufficiency caused by myoglobin nephrosis).
Ho
G H
GH
Academisch Ziekenhuis, afd. Chirurgie, Utrecht.
van Laarhoven
C J
CJ
Ottow
R T
RT
D011125:Adenomatous Polyposis Coli / Q000601:surgery; D000328:Adult; D003161:Compartment Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000071938:Fasciotomy; D006801:Humans; D007866:Leg / Q000601:surgery; D008297:Male; D016737:Proctocolectomy, Restorative / Q000009:adverse effects*; D016683:Supine Position / Q000502:physiology
Compartimentsyndroom van beide onderbenen na langdurige chirurgie in steensnedenligging.