[Lower limb compartment syndrome following laparoscopic sigmoid resection in the lithotomy position].
Lower limb compartment syndrome subsequent to surgery in the lithotomy position is a rare but devastating complication, termed well leg compartment syndrome (WLCS). We report a case of WLCS after a 290 minute long laparoscopic sigmoid resection commenced in the Lloyd-Davies position. 27 hours after surgery, four-compartment fasciotomy was performed confirming the diagnosis of compartment syndrome. The patient was discharged with a limp, awaiting further follow-up. Surgeons must be able to diagnose WLCS as delayed treatment may result in severe neuromuscular dysfunction.
Krarup
Peter-Martin
PM
Sydvestjysk Sygehus, Kirurgisk Klinik, Esbjerg, DK-6700 Esbjerg. krarup@ki.au.dk
Rawashdeh
Yazan F
YF
D003161:Compartment Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000071938:Fasciotomy; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011187:Posture; D012811:Sigmoid Neoplasms / Q000601:surgery*; D013997:Time Factors