Kapur Benjamin Pal, Grant Michael, Ramakrishnan Muthukrishnan
Department of Orthopaedics, Wirral University Teaching Hospital NHS Trust, Arrowe Park Rd, Wirral, Merseyside, cH49 5PE. United Kingdom.
J Orthop Case Rep. 2015 Apr-Jun;5(2):9-11. doi: 10.13107/jocr.2250-0685.286.
A traumatic bilateral compartment syndrome is not widely reported. There is usually a precipitating event to cause compartment syndrome for example open and closed fractures, plaster of Paris application, burns and post-ischaemia reperfusion injury. This case confirms the need for a high index of suspicion for compartment syndrome in a patient presenting with bilateral leg pain, swelling and erythema as early diagnosis and urgent decompression by fasciotomy is of vital importance to preserve limb function and avoid complications.
We wish to report the case of atraumatic bilateral anterolateral compartment syndrome in a 58-year-old Caucasian man with a medical history of schizophrenia. He presented to Accident and Emergency with bilateral leg pain, swelling and erythema with no preceding history of trauma. Initially he was treated for bilateral lower leg cellulitis with a late diagnosis of compartment syndrome.
This case illustrates the need for a broad differential diagnosis.
创伤性双侧骨筋膜室综合征的报道并不广泛。通常存在引发骨筋膜室综合征的诱发事件，例如开放性和闭合性骨折、应用石膏、烧伤以及缺血后再灌注损伤。该病例证实，对于出现双侧腿部疼痛、肿胀和红斑的患者，需要高度怀疑骨筋膜室综合征，因为早期诊断并通过筋膜切开术进行紧急减压对于保留肢体功能和避免并发症至关重要。
我们希望报告一例58岁患有精神分裂症病史的白种男性的非创伤性双侧前外侧骨筋膜室综合征。他因双侧腿部疼痛、肿胀和红斑就诊于急诊室，之前并无创伤史。最初他被诊断为双侧小腿蜂窝织炎并接受治疗，最终诊断为骨筋膜室综合征。
该病例说明了进行广泛鉴别诊断的必要性。
