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2018 ; 2018
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English Wikipedia
Two cases of unidentified acute compartment syndrome
#MMPMID29610114
Takeda S
; Tatebe M
; Sakai A
; Hirata H
BMJ Case Rep
2018[Apr]; 2018
(ä): ä PMID29610114
show ga
Acute compartment syndrome (ACS) is a surgical emergency that requires urgent
fasciotomy to prevent irreversible sequelae. We report two cases of unidentified
ACS, which did not result from traumatic injuries such as fractures or crush
injury, iatrogenic injury or diseases such as haematological malignancies. Both
patients complained of severe pain and swelling of their extremity. No bite
marks, blisters or skin necrosis was noted. They also complained of marked
symptoms of third cranial nerve injury, including divergent squint and diplopia.
The diagnosis of ACS was made following continuous intracompartmental pressure
measurement, and both patients underwent urgent fasciotomy with partial incision.
Considering the season and location of the injuries, together with the rapid
progression of signs and symptoms that included thrombocytopaenia, acute renal
failure, rhabdomyolysis and especially that of third cranial nerve injury, we
postulate that these two cases may have developed following mamushi
(Gloydiusblomhoffii) bites.