Shiraz Ahmad, Bakhtiar Hira, Farman Ghazi, Khan Salman, Rafiq Nawal
General Surgery, Hayatabad Medical Complex (HMC), Peshawar, PAK.
Department of Community Medicine, Jinnah Medical College, Peshawar, PAK.
Cureus. 2022 Feb 8;14(2):e22033. doi: 10.7759/cureus.22033. eCollection 2022 Feb.
Acute compartment syndrome (ACS) is a surgical emergency that requires urgent fasciotomy to prevent irreversible sequelae. Symptoms usually include intense pain, tenderness in the affected area, tingling or burning sensation, and in severe cases, numbness or weakness and limb amputation due to ischemia from compression of the blood vessels, respectively. This case report describes a 19-year-old female who presented with complaints of severe pain and swelling in her right forearm. On examination, no bite marks, blisters, or skin necrosis were noted except for several surgical scars from her previous surgeries for the same condition, i.e., compartment syndrome. Upon thorough examination, including relevant investigation and clinical judgment, she was diagnosed with acute compartment syndrome, for which she underwent fasciotomy. There was no basic underlying pathology found in her case, making it an unidentified case of acute compartment syndrome.
急性骨筋膜室综合征（ACS）是一种外科急症，需要紧急进行筋膜切开术以防止出现不可逆的后遗症。症状通常包括剧痛、患处压痛、刺痛或烧灼感，严重时分别会出现麻木或无力以及因血管受压缺血导致的肢体截肢。本病例报告描述了一名19岁女性，她主诉右前臂剧痛和肿胀。检查时，除了因之前同样病症（即骨筋膜室综合征）手术留下的几道手术疤痕外，未发现咬伤痕迹、水泡或皮肤坏死。经过全面检查，包括相关检查和临床判断，她被诊断为急性骨筋膜室综合征，并接受了筋膜切开术。在她的病例中未发现基础潜在病理情况，这使其成为一例不明原因的急性骨筋膜室综合征病例。
