A Case of Acute Compartment Syndrome Leading to Emergency Surgical Decompression

DOI
  • TAKAFUJI Madoka
    Dermatology, Department of Integrated Medicine, Graduate School of Medicine, Osaka University Department of Dermatology, National Defense Medical College
  • TAKATA Yoko
    Dermatology, Department of Integrated Medicine, Graduate School of Medicine, Osaka University
  • KOTOBUKI Yorihisa
    Dermatology, Department of Integrated Medicine, Graduate School of Medicine, Osaka University
  • TANEMURA Atsushi
    Dermatology, Department of Integrated Medicine, Graduate School of Medicine, Osaka University
  • ETANI Yuki
    Orthopedic surgery, Osaka University Graduate School of Medicine
  • TANAKA Hiroyuki
    Orthopedic surgery, Osaka University Graduate School of Medicine
  • KATAYAMA Ichiro
    Dermatology, Department of Integrated Medicine, Graduate School of Medicine, Osaka University

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Other Title
  • 減張切開による緊急手術が必要となったコンパートメント症候群の1例

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Description

A 49-year-old man presented at our hospital due to bulla formation on the left hand. As he had poorly controlled Parkinson's disease, his left hand to his forearm continued to be compressed during his sleep. Acute compartment syndrome was suspected due to elevation of creatine kinase and lactate dehydrogenase levels, and was confirmed with elevation of muscle compartment pressure. Due to rapid exacerbation of local pain, edema, and bulla number, we performed emergency decompressive fasciotomy on the 1st day of hospitalization. Severe edema from his left hand to forearm was relieved soon after skin incision. Thereafter, successful skin grafting was performed for the remaining partial ulcer. Bullae that occur on unconscious patients are generally referred to as coma blisters, and blister formation is known to be one characteristic feature of compartment syndrome. It is necessary to accurately differentiate coma blisters from decubitus.Skin Research, 16: 260-265, 2017

Journal

  • Hifu no kagaku

    Hifu no kagaku 16 (4), 260-265, 2017

    Meeting of Osaka Dermatological Association/Meeting of Keiji Dermatological Association

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