O'Neill Shane C, Lui Darren F, Murphy Colm, Kiely Patrick J
Department of Paediatric Trauma and Orthopaedics, Our Lady's Children's Hospital Crumlin, Dublin 12, Ireland.
Case Rep Orthop. 2015;2015:585986. doi: 10.1155/2015/585986. Epub 2015 Feb 10.
A 10-year-old boy presented with severe left lower leg pain, uncontrolled with increasing analgesia after appendicectomy. A diagnosis of acute compartment syndrome was made after a delayed referral to the orthopaedic service. The patient subsequently underwent an emergency fasciotomy and made a good functional recovery. To the best of our knowledge this is the first reported case of paediatric lower leg compartment syndrome after appendicectomy in the literature. The case report serves to highlight the importance of maintaining a high index of suspicion for compartment syndrome.
一名10岁男孩在阑尾切除术后出现左小腿剧痛，随着镇痛剂用量增加疼痛仍无法控制。在延迟转诊至骨科后，诊断为急性骨筋膜室综合征。该患者随后接受了急诊筋膜切开术，功能恢复良好。据我们所知，这是文献中首次报道的阑尾切除术后小儿小腿骨筋膜室综合征病例。该病例报告旨在强调对骨筋膜室综合征保持高度怀疑指数的重要性。
