title: Gluteal compartment syndrome due to prolonged immobilization after alcohol intoxication: a case report.
abstract: Gluteal compartment syndrome is a relatively rare condition that mostly result from atraumatic causes such as prolonged immobilization due to drug abuse or alcoholic intoxication and incorrect positioning during surgical procedures rather than traumatic causes. Early diagnosis is difficult and sometimes delayed or overlooked because of poor physical signs resulting from altered mental status and inappropriate diagnosis by clinicians. It has been reported that more than half of the cases of gluteal compartment syndrome are associated with crush syndrome and sciatic nerve palsy. Early diagnosis and immediate fasciotomy are necessary to improve the functional prognosis. Here, we report the case of a patient with gluteal compartment syndrome caused by prolonged immobilization after acute alcoholic intoxication. After disease onset, the patient developed complications of crush syndrome and sciatic nerve palsy, but immediate fasciotomy improved his condition.
authors.affiliation: Department of Emergency and Critical Care of Medicine, Odawara Municipal Hospital, 49 Kuno, Odawara-City, Kanagawa 250-8558, Japan. eriizuka@hotmail.com
authors.forename: Shinichi
authors.initials: S
authors.lastname: Iizuka
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Miura
authors.forename: Tomokazu
authors.initials: T
authors.lastname: Fukushima
authors.forename: Tomoko
authors.initials: T
authors.lastname: Seki
authors.forename: Katuhiko
authors.initials: K
authors.lastname: Sugimoto
authors.forename: Sadaki
authors.initials: S
authors.lastname: Inokuchi
mesh_terms: D000328:Adult; D000435:Alcoholic Intoxication / Q000150:complications* / Q000175:diagnosis; D002081:Buttocks / Q000000981:diagnostic imaging / Q000601:surgery; D003161:Compartment Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005205:Fascia / Q000000981:diagnostic imaging; D000071938:Fasciotomy; D006801:Humans; D007103:Immobilization / Q000009:adverse effects*; D008279:Magnetic Resonance Imaging; D008297:Male; D011859:Radiography; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult