Nooh Anas, Wang Casey K, AlAseem Abdulrahman, Harvey Edward J, Bernstein Mitchell
Department of Orthopedic Surgery, McGill University Health Centre, Montreal, Canada.
Department of Orthopedic Surgery, King Abdul-Aziz University, Jeddah, Saudi Arabia.
JBJS Case Connect. 2020 Jan-Mar;10(1):e0506. doi: 10.2106/JBJS.CC.18.00506.
We report a 27-year-old man who presented with thigh swelling and inability to bear weight after blunt trauma 24 hours before. Based on the clinical assessment, the patient was diagnosed with anterior compartment syndrome of the thigh and underwent fasciotomy. Postoperatively, 1.5 L of blood were drained from his wound in the first 30 minutes after the operation. Angiography was performed demonstrating bleeding from the lateral femoral circumflex which was successfully embolized.
Our case represents the underlying arterial injury that was initially undiagnosed as a cause for thigh compartment syndrome. Physicians should consider associated injuries (beyond muscle crush) when making a diagnosis of compartment syndrome.
我们报告一名27岁男性，他在24小时前遭受钝器伤后出现大腿肿胀且无法负重。根据临床评估，该患者被诊断为大腿前侧骨筋膜室综合征并接受了筋膜切开术。术后，术后前30分钟从其伤口引流出血液1.5升。进行血管造影显示旋股外侧动脉出血，出血已成功栓塞。
我们的病例显示了最初未被诊断为大腿骨筋膜室综合征病因的潜在动脉损伤。医生在诊断骨筋膜室综合征时应考虑相关损伤（除肌肉挤压伤外）。
