Rozhl Chir. 2022 Summer;101(6):292-297. doi: 10.33699/PIS.2022.101.6.291-296.
The publishing of our case report on an idiopathic compartment syndrome of both upper limbs after icing a contusion trauma was motivated by another article on the acute spontaneous compartment syndrome of upper limb published in Rozhledy v chirurgii 8/2021.
We present the case of a 43-year-old man admitted in the evening for painful massive swelling of both upper extremities. The swelling developed immediately after icing his bruises suffered due to a probable fall on the previous day in a state of inebriety. Compartment syndrome of the left hand and right forearm was diagnosed; subsequently, adequate dermatofasciectomy resulted in normalization of the condition in both upper limbs. The patients condition was cured to a full extent without any disorders of perfusion, mobility or sensation in both upper extremities.
Only few reports on the atraumatic compartment syndrome of upper extremity can be found in the literature and it is an acute condition encountered quite rarely at outpatient offices of surgery. Nevertheless, we need to be able to recognize this nosological unit and provide proper treatment in time, otherwise the patient may suffer serious permanent damage.
我们发布了一篇关于上肢创伤后冰敷导致特发性四肢间隔综合征的病例报告，这是受到 2021 年《Rozhledy v chirurgii》上一篇关于上肢急性自发性间隔综合征的文章的启发。
我们报告了一名 43 岁男性的病例，他在晚上因双侧上肢剧痛性肿胀而入院。肿胀是在前一天醉酒摔倒后立即冰敷瘀伤时发生的。诊断为左手和右手前臂间隔综合征；随后进行了适当的皮肤筋膜切开术，双侧上肢情况均恢复正常。患者的病情完全治愈，双侧上肢的灌注、活动和感觉均无异常。
文献中仅能找到少数关于上肢非创伤性间隔综合征的报道，这种疾病在外科门诊相当罕见，但我们需要能够及时识别出这种疾病单元，并提供适当的治疗，否则患者可能会遭受严重的永久性损伤。
