Gluteal compartment syndrome following alcohol intoxication: Case report and literature review

Annals of Medicine and Surgery
Adel ElkbuliDessy Boneva

Abstract

A compartment syndrome (CS) occurs when increased pressure within an anatomic compartment leads to inadequate perfusion. Although rare, gluteal CS can be encountered when an unconscious person has a prolonged period of immobilization. A 20-year-old male with history of polysubstance abuse leading to passing out, presented with right buttock and lower extremity pain, increased creatinine phosphokinase (CPK), and acute renal failure. Physical examination and MRI confirmation supported gluteal CS. Patient was taken to the OR for gluteal fasciotomy. Afterwards, the pain improved, the CPK and creatinine trended to normal. He was discharged home on day 7. CS can occur in any part of the body with fascial compartments. Increased compartmental pressure causes compression of vessels and nerves in the area that can lead to ischemia and necrosis. CS can occur after trauma, excessive fluid resuscitation, or surgery. It is also reported due to the prolonged periods of immobilization and increasing pressure on dependent areas. Often, intra-compartmental pressure is measured to confirm the diagnosis. The mainstay of treatment is fasciotomy. Due to the rarity of gluteal compartment syndrome, the diagnosis is often delayed. If the affected area...Continue Reading

Citations

Jul 21, 2020·Curēus·Anupam K GuptaMiguel Lopez-Viego
Mar 7, 2020·Der Unfallchirurg·J GleichA M Keppler
Jan 8, 2021·Orthopedic Research and Reviews·Matthew W KonigsbergR Kumar Kadiyala
Dec 19, 2020·The American Surgeon·Yancey E WarrenMary M Jordan
Nov 13, 2020·Journal of Orthopaedic Trauma·Sharri J MortensenArvind G von Keudell
Aug 27, 2021·Clinical Practice and Cases in Emergency Medicine·Jessica Ray Jackson, Kraftin Schreyer

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