title: Acute forearm compressive myopathy syndrome secondary to upper limb entrapment: an unusual cause of renal failure.
abstract: Compressive myopathy syndrome (SCM) is a syndrome characterized by the lesion of skeletal muscle resulting in subsequent release of intracellular contents (myoglobin, creatine phosphokinase, potassium, etc.) into the circulatory system, which can cause potentially lethal complications. There are numerous causes that can lead to SCM resulting to acute rhabdomyolysis, and many patients present with multiple causes. The most common potentially lethal complication is acute renal failure. The occurrence of acute rhabdomyolysis should be considered as a possibility in any patient who can remain stationary for long periods, or is in a coma, or is intoxicated in any form. We report the rare case of a 26-year-old patient who developed SCM caused by ischemia reperfusion, with subsequent acute rhabdomyolysis and acute renal failure after prolonged compression of the right upper extremity.
authors.affiliation: 2nd Department of Surgery, School Medicine, Aristoteleion University of Thessaloniki, Thessaloniki, Greece. tkalogirou@gmail.com
authors.forename: Maria D
authors.initials: MD
authors.lastname: Tachtsi
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Kalogirou
authors.forename: Stefanos K
authors.initials: SK
authors.lastname: Atmatzidis
authors.forename: Dimitrios K
authors.initials: DK
authors.lastname: Papadimitriou
authors.forename: Konstantinos S
authors.initials: KS
authors.lastname: Atmatzidis
mesh_terms: D000208:Acute Disease; D058186:Acute Kidney Injury / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000328:Adult; D003161:Compartment Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D019299:Decompression, Surgical / Q000379:methods; D000071938:Fasciotomy; D005440:Fluid Therapy; D006801:Humans; D008297:Male; D016491:Peripheral Vascular Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D011312:Pressure; D015427:Reperfusion Injury / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012206:Rhabdomyolysis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome; D034941:Upper Extremity / Q000098:blood supply*