| Bilateral gluteal compartment syndrome: a rare but potentially morbid entity. | |
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MedLine Citation:
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PMID: 20698385 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Compartment syndrome is caused by elevated interstitial pressure within the myofascial compartment. It rarely presents bilaterally in the gluteal region. A 49-year-old man fell 10 feet from a roof on his buttocks. He presented 10 hours after the injury with intense lumbar pain. Both glutei were exceptionally tense. There were no vascular injuries or sensory deficits. Compartmental pressures measured 60 mm Hg on the left side and 50 mm Hg on the right side. The patient was taken to the operating room for decompressive fasciotomy. The glutei compartments were released. He was taken once more to the operating room, requiring only minimal débridement. He was discharged the next week with no neurological deficit. Bilateral gluteal compartment syndrome is very rare with few cases reported in the literature. It has been associated with trauma, prolonged recumbence, surgical instrumentation, and illicit drug abuse. Early recognition is required to avoid the potential severe metabolic and physical deficits. |
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Authors:
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Jose Castro-Garcia; Brian R Davis; Miguel A Pirela-Cruz |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The American surgeon Volume: 76 ISSN: 0003-1348 ISO Abbreviation: Am Surg Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-08-11 Completed Date: 2010-09-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370522 Medline TA: Am Surg Country: United States |
Other Details:
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Languages: eng Pagination: 752-4 Citation Subset: IM |
Affiliation:
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Department of Surgery, Texas Tech University Health Sciences Center, El Paso 79905, USA. jose.castro@ttuhsc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Accidental Falls Buttocks* Compartment Syndromes / diagnosis, etiology, surgery* Debridement Decompression, Surgical Humans Male Middle Aged |
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