Gluteal compartment syndrome with severe rhabdomyolysis.
Gluteal compartment syndrome is a rare entity but a recognised complication of prolonged immobilisation. It can present as renal failure as a result of severe rhabdomyolysis and can lead to sepsis and death. We report a case of gluteal compartment syndrome in a 25-year-old man who was found unconscious following intoxication with alcohol and cocaine of an unknown duration. He presented with tense tight left buttock swelling, right thigh swelling, cold immobile extremeties and acute renal failure. Immediate left gluteal, thigh and calf fasciotomy resulting in an improvement of lower limb and renal function.
Barts Health NHS Trust, Royal London Hospital, London, UK. 101.nitisha@gmail.com
Nitisha
N
Narayan
Martin
M
Griffiths
Hasu D L
HD
Patel
D058186:Acute Kidney Injury / Q000209:etiology*; D000328:Adult; D000435:Alcoholic Intoxication / Q000150:complications; D002081:Buttocks; D019970:Cocaine-Related Disorders / Q000150:complications; D003161:Compartment Syndromes / Q000150:complications*; D006801:Humans; D007866:Leg; D008297:Male; D012206:Rhabdomyolysis / Q000150:complications*; D012720:Severity of Illness Index