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Spontaneous compartment syndrome of all limbs

 Department of Orthopedics, Hamad Medical Corporation, Doha, Qatar

Correspondence Address:
Abduljabbar Alhammoud,
Hamad Medical Corporation, Doha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmsr.jmsr_122_20

Compartment syndrome is a serious condition that results from increased pressure in a closed muscle compartment segment, which affects tissue perfusion and leads to necrosis. It can be acute because of fracture and crush injury or chronic due to recurrent transient increase in the intracompartmental pressure that occurs during exertional activities. Rhabdomyolysis is a rare cause of compartment syndrome; clinicians should be aware of different atypical presentations of compartment syndrome and should have a low threshold for such a case. Early diagnosis and intervention may lead to better clinical outcomes and may prevent any possible complications or future morbidity and disabilities. We are presenting a rare case of spontaneous atraumatic four-limb compartment syndrome in a patient postminimal exertion, which was managed by urgent surgical fasciotomy and compartment decompression. After 29-month follow-up, the patient regained full function of both upper extremities without residual motor or sensory deficit, while he had bilateral foot drop without sensory deficit, and he was walking using bilateral ankle-foot orthosis. We hypothesize that his compartment syndrome developed due to rhabdomyolysis, which was extenuated by dehydration.

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    -  Alhammoud A
    -  Moghamis IS
    -  Nasef H
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