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Case Report
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| Lower extremity acute compartment syndrome secondary to inferior vena cava thrombus: A case report | ||||||
| Keegan Devon Bradley1, Hao Wang1 | ||||||
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MD, Resident Physician, Emergency Medicine, John Peter Smith Hospital, Fort Worth, TX, USA
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| How to cite this article |
| Bradley KD, Wang H. Lower extremity acute compartment syndrome secondary to inferior vena cava thrombus: A case report. Int J Case Rep Images 2017;8(5):317–321. |
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ABSTRACT
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Introduction:Acute compartment syndrome (ACS) occurs when pressure within a muscle compartment builds to dangerous levels that exceed the perfusion pressure supplying blood to that compartment, which can lead to nerve and muscle tissue injury. It is uncommon to have an acute compartment syndrome suspected to be secondary to a clot of the inferior vena cava (IVC). Case Report: A 51-year-old female, without recent trauma presented to an outside hospital emergency department with symptoms of acute onset left lower extremity pain and swelling. She was admitted for ACS, and subsequently required emergent fasciotomy. While in a rehabilitation facility, she had worsening leg pain and presented to the hospital, where she was found to have an occlusive thrombus in her IVC that extended down to her lower extremities. It was later noted the anterior compartment of the patients left lower leg had become necrotic, and the patient could no longer dorsiflex her foot. After reviewing the report and outcome of the patient, it was concluded that she had developed compartment syndrome without any obvious instigating cause. Conclusion: It is important to have a low threshold and be vigilant for compartment syndrome in any patient presenting with suspicious symptoms, even patients who seem to have no history or related trauma typically associated with compartment syndrome. Keywords: Atraumatic, Compartment syndrome, Deep venous thrombosis, Inferior vena cava |
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Acknowledgements
We are thankful to Hao Wang MD, PHD, FACEP; Research Director, John Peter Smith Hospital, Department of Emergency Medicine for his help and support in preparing this report. |
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Author Contributions
Keegan Devon Bradley – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Wang, Hao – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor
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
© 2017 Keegan Devon Bradley et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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