[Acute leg compartment syndrome after exertion].
A case of a 22-year old soldier, with a history of pain in the leg during heavy exercise, which desisted at rest, was presented. One day before admission, the patient had felt an extreme exertion-induced pain in his right leg which had not lessenned at rest. At the same time, the patient noticed persistent severe leg edema. On physical examination, the intracompartmental pressure was 62 mmHg (> 30 mmHg). The patient was urgently operated on, and fasciotomy according to Mubarak was used. At second surgery, the debridement of the muscles of the posterior group of the leg, and the evacuation of hemathoma from the anterior and lateral group of the right leg muscles were perfomed. Postoperative recovery was uneventful. Fasciotomy wounds were closed within 14 days of the surgery. The complete physical treatment was done. Follow-up examinations 1, 3, and 6 months afterwards were satisfactory. The soldier completed his compulsory military service without any sequelae. Laboratory results were normal. Overlooked, unrecognized or surgically untreated compartment syndrome can cause severe damage, including even the loss of the extremity.
Misović
Sidor
S
Vojnomedicinska akademija, Klinika za opstu i vaskularnu hirurgiju, Beograd.
Kronja
Goran
G
Ignjatović
Dragan
D
Tomić
Aleksandar
A
D000208:Acute Disease; D000328:Adult; D003161:Compartment Syndromes / Q000209:etiology*; D015444:Exercise; D006801:Humans; D007866:Leg; D008297:Male; D008889:Military Personnel