title: Bilaterally Symmetrical Lower Extremity Compartment Syndrome following Massive Transfusion.
abstract: Compartment syndrome is a serious condition characterized by raised intracompartmental pressure, which develops following trauma. Well leg compartment syndrome (WLCS) is a term reserved for compartment syndrome in a nontraumatic setting, usually resulting from prolonged lithotomy position during surgery. In literature, 8 cases have been reported regarding well leg compartment syndrome in a supine position and bilateral symmetrical involvement was observed in only 2 cases. In WLCS etiology, lengthy surgery, lengthy hypotension, and extremity malpositioning have been held responsible but one of the factors with a role in the etiology may have been the tissue oedema and impaired microcirculation formed from the effect of vasoactive mediators expressed into the circulation associated with the massive blood transfusion. The case is presented here regarding symmetrical lower extremity compartment syndrome after surgery in which massive transfusion was made for gross haemorrhage from an abdominal injury. In conclusion, blood transfusion applied at the required time is life-saving but potential risks must always be considered.
authors.affiliation: Department of Anaesthesiology and Reanimation, Istanbul Umraniye Training and Research Hospital, Istanbul, Turkey.
authors.forename: Gulsah
authors.initials: G
authors.lastname: Karaoren
authors.affiliation: Department of Anaesthesiology and Reanimation, Istanbul Umraniye Training and Research Hospital, Istanbul, Turkey.
authors.forename: Nurten
authors.initials: N
authors.lastname: Bakan
authors.affiliation: Department of Anaesthesiology and Reanimation, Istanbul Umraniye Training and Research Hospital, Istanbul, Turkey.
authors.forename: Senay Goksu
authors.initials: SG
authors.lastname: Tomruk
authors.affiliation: Department of Anaesthesiology and Reanimation, Istanbul Umraniye Training and Research Hospital, Istanbul, Turkey.
authors.forename: Zelin
authors.initials: Z
authors.lastname: Topaç
authors.affiliation: Department of Orthopedic Surgery, Istanbul Umraniye Training and Research Hospital, Istanbul, Turkey.
authors.forename: Tuhan
authors.initials: T
authors.lastname: Kurtulmuş
authors.affiliation: Department of Plastic and Reconstructive Surgery, Adnan Menderes University, Aydın, Turkey.
authors.forename: Saime
authors.initials: S
authors.lastname: Irkören