書誌事項
- タイトル別名
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- Compartment Syndrome in Bilateral Lower Legs after Total Cystectomy: A Case Report
- ボウコウ ゼンテキジョジュツゴ ニ ハッショウ シタ リョウ カタイ コンパートメント ショウコウグン ノ 1レイ
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We report a case of compartment syndrome in bilateral lower legs after total cystectomy with urethrectomy and ileal conduit diversion. A 64-year-old man who had diabetes mellitus for 20 years underwent an operation for invasive bladder cancer. He was placed in the lithotomy position and both lower legs were protected withan elastic stocking and intermittent pneumatic compression for prevention of deep vein thrombosis during the operation. Seven hours postoperatively, he complained of bilateral calf pain. Eleven hours postoperatively, skin redness, swelling, movement and sensory disorder of bilateral lower legs were found. Contrasting computed tomography (CT) of lower legs showed the swelling of bilateral soleus muscles and gastrocnemius muscles without any contrasting effect. Creatinine phosphokinase (CPK) increased to 46, 740 IU/l and the intramuscular pressure was 50 mmHg. He was diagnosed with compartment syndrome, in bilateral lower legs and emergent fasciotomy was performed. Bilateral calf pain was improved immediately after fasciotomy and could walk on his own after rehabilitation. Lower leg compartment syndrome is an uncommon disease but may require lower leg amputation or result in deathif the treatment is delayed. Urologists should recognize this disease as a complication after prolonged operation in the lithotomy position.
収録刊行物
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- 泌尿器科紀要
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泌尿器科紀要 57 (2), 87-90, 2011-02
泌尿器科紀要刊行会
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詳細情報 詳細情報について
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- CRID
- 1050001335709884032
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- NII論文ID
- 120002906263
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- NII書誌ID
- AN00208315
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- ISSN
- 00181994
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- HANDLE
- 2433/138597
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- NDL書誌ID
- 10985954
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- 本文言語コード
- ja
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- 資料種別
- departmental bulletin paper
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- データソース種別
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- IRDB
- NDL
- CiNii Articles