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Case Report
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| A case of acute compartment syndrome of the leg following prolonged lithotomy position during urological surgery |
| Chetan Prakash1, Abdullah A. Bonajmah1, Amro Ahmed11 |
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1Orthopedic Surgeon, Ward - 20, Department of Orthopedic Surgery, Farwaniya Hospital, Kuwait.
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10.5348/ijcri-2011-10-61-CR-5
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Address correspondence to: Dr. Chetan Prakash Orthopedic Surgeon Ward-20 Department of Orthopedic Surgery Farwaniya Hospital Kuwait Phone: 00965-66540312, 00965-24890198 Email: drcprakash@hotmail.com |
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| How to cite this article: |
| Prakash C, Bonajmah AA, Ahmed A. A case of acute compartment syndrome of the leg following prolonged lithotomy position during urological surgery. International Journal of Case Reports and Images 2011;2(9):19-22. |
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Abstract
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Introduction:
Acute Compartment Syndrome is an orthopedic emergency which if not recognized and treated in time can lead to serious irreversible damage to neuromuscular structures.
Case Report: We are reporting here a case of acute compartment syndrome of the right leg in an adult male patient following a prolonged urological surgery - 5 hours in the lithotomy position. Post Operative Patients symptoms and signs were diagnosed early and an urgent Fasciotomy was done which relieved him of his symptoms and averted major damage to his leg. Conclusion: Acute compartment syndrome of the leg is a recognized but rare iatrogenic complication in many prolonged urological procedures due to lithotomy position used in them. If prolonged urological procedure is necessary patient should be monitored post operatively for early and prompt treatment of this complication. Early diagnosis and prompt treatment is the main-stay of the treatment in cases of acute compartment syndrome following unavoidable prolonged urological procedures in lithotomy position. We recommend a written consent and information to the patient regarding the risk of the above. In our case urgent decompression by four compartment fasciotomy was successful and averted all disabling complications. | |
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Key Words:
Orthopedic emergency, Acute compartment syndrome, Lithotomy position, Prolonged urological surgery
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Author Contributions:
Chetan Prakash - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Abdullah A. Bonajmah - Conception and design, Analysis and interpretation of data, Drafting the article, revision of the article, Final approval of the version to be published Amro Ahmed - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
Authors declare no conflict of interest. |
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Copyright:
© Chetan Prakash et al. 2011; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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