title: Delayed diagnosis of single compartment muscle contusion after radical hysterectomy in the lithotomy position: A case report.
abstract: BACKGROUND
  Muscle contusions usually occur as a result of blunt trauma, which damages the muscle fibers and connective tissue without breaking the skin. Rapid bleeding can cause an increase in pressure that requires surgical intervention, commonly referred to as compartment syndrome. Here, we report a case with delayed diagnosis of single compartment muscle contusion in which compartment syndrome did not develop.
  
  
  METHODS
  A 50-year-old woman underwent radical hysterectomy. She complained of edema and tenderness in the lower left leg on postoperative day 6. The serum creatine phosphokinase level was slightly elevated at 177 IU/L (normal range: 6-142 IU/L). T2-weighted magnetic resonance imaging revealed swelling of the muscle in the deep posterior compartment of the lower left leg, edematous fascia, and subcutaneous adipose tissue. She recovered naturally without other complications.
  
  
  CONCLUSIONS
  In the lithotomy position during surgery, muscle contusion might occur, without general symptoms.
  
  
  CONCLUSIONS
  Magnetic resonance imaging is useful for diagnosis. For patients who complain of edema and tenderness in the lower leg after surgery in the lithotomy position, muscle contusions should be considered.
authors: Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center, 1-847 Amanuma, Omiya, Saitama, Saitama 330-8503, Japan. Electronic address: kendokenro@hotmail.com.
authors: Kenro
authors: K
authors: Chikazawa
authors: Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center, 1-847 Amanuma, Omiya, Saitama, Saitama 330-8503, Japan. Electronic address: sun@jichi.ac.jp.
authors: Sachiho
authors: S
authors: Netsu
authors: Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center, 1-847 Amanuma, Omiya, Saitama, Saitama 330-8503, Japan. Electronic address: ogu.kuma@gmail.com.
authors: Keiko
authors: K
authors: Akashi
authors: Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center, 1-847 Amanuma, Omiya, Saitama, Saitama 330-8503, Japan. Electronic address: yurinasuzuki@yahoo.co.jp.
authors: Yurina
authors: Y
authors: Suzuki
authors: Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center, 1-847 Amanuma, Omiya, Saitama, Saitama 330-8503, Japan. Electronic address: kryo772007@yahoo.co.jp.
authors: Ryo
authors: R
authors: Konno
authors: Department of Gynecology, Kyosai Hospital, 3-15-31 Harayama, Midori Ward, Saitama, Saitama Prefecture, Japan. Electronic address: sh-moto@mb4.suisui.ne.jp.
authors: Shigeru
authors: S
authors: Motomatsu
keywords: Case report; Compartment syndrome; Lithotomy; Muscle contusion; Radical hysterectomy