title: Acute compartment syndrome of the thigh secondary to isolated common femoral vessel injury: an unusual etiology.
abstract: We report a case of acute compartment syndrome of the thigh secondary to common femoral vessel injury. The lesion was associated with common femoral artery dissection and common femoral vein rupture. Emergency surgical treatment consisted of resection-anastomosis of the arterial dissection, vein ligature, and fasciotomies. The patient is symptom-free after 15 months of follow-up. Isolated vascular injury is an unusual cause of acute compartment syndrome of the thigh. This case serves to increase awareness that isolated vascular injury, without femoral fracture or multiple injury, can result in thigh compartment syndrome. Early recognition and treatment of vascular involvement contributes to better functional outcome of this rare condition, but treatment modalities remain subject to discussion.
authors.affiliation: Department of Vascular Surgery, University Hospital of Nantes, Saint-Herblain, Nantes, France. davainej@yahoo.fr
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Davaine
authors.forename: François
authors.initials: F
authors.lastname: Lintz
authors.forename: Marc
authors.initials: M
authors.lastname: Cappelli
authors.forename: Philippe
authors.initials: P
authors.lastname: Chaillou
authors.forename: François
authors.initials: F
authors.lastname: Gouin
authors.forename: Philippe
authors.initials: P
authors.lastname: Patra
authors.forename: Yann
authors.initials: Y
authors.lastname: Gouëffic
mesh_terms: D000208:Acute Disease; D000328:Adult; D000792:Angiography; D003161:Compartment Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D000071938:Fasciotomy; D005263:Femoral Artery / Q000293:injuries*; D005268:Femoral Vein / Q000293:injuries*; D006801:Humans; D008297:Male; D009104:Multiple Trauma; D013848:Thigh; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures / Q000379:methods; D057772:Vascular System Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery