Acute compartment syndrome in the thigh complicated by a pseudoaneurysm. A case report.

SUMMARYIn the absence of obvious trauma, diagnosis of acute compartment syndrome (ACS) of the thigh can easily be delayed, as disproportional pain is not always present. We present a case of ACS of the anterior right thigh compartment in a healthy, semiprofessional rugby player with normal coagulation, who sustained a seemingly innocuous blow during a rugby match. Following early surgical fasciotomy, he returned to his preinjury playing standards within 12 months. Our literature review suggests that high muscle mass, young, athletic males participating in a contact sport are mostly at risk of developing ACS of the thigh. BACKGROUND

show abstract

“…It is most commonly associated with motor vehicle accidents,4 but has also been reported as a result of trauma in sport 6 38 39 41 43 44 46 54 56…”

Section: Discussionmentioning

confidence: 99%

“…Traumatic ACS of the thigh in sport has been reported in football,6 41 44 handball,41 44 American football,38 46 lacrosse,39 softball,54 karate,56 kickboxing43 and in one case of a rugby player 41…”

Section: Introductionmentioning

confidence: 99%

Acute compartment syndrome of the thigh in a rugby player

2015

View full text Add to dashboard Cite

show abstract

“…Furthermore, it is difficult to obtain information on muscle damage after rupture of a pseudoaneurysm on color Doppler imaging. Several case reports have documented that pseudoaneurysm of the femoral artery can lead to compartment syndrome [12][13][14]. In the absence of appropriate treatment, compartment syndrome can in turn cause permanent muscle and nerve damage.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Rupture of a Deep Femoral Pseudoaneurysm Mimicking Lymphedema After Radical Hysterectomy in a Woman Who Was Receiving Warfarin

et al. 2016

View full text Add to dashboard Cite

Pseudoaneurysms of the deep femoral artery have been reported after external injury to the thigh and orthopedic surgery of the femur. We describe our experience with a case of spontaneous rupture of a deep femoral pseudoaneurysm in a woman who was receiving warfarin within the therapeutic range. She received a choledocholithotomy after a radical hysterectomy for uterine cervical cancer (stage IB1). Pulmonary embolism and deep-vein thrombosis developed after choledocholithotomy, and an inferior vena cava filter was left in place permanently. She was receiving warfarin since then. This time, the patient presented with a pseudoaneurysm of the deep femoral artery and a large hematoma in the adductor muscle of the thigh. Swelling of the thigh in this condition resembled the lower-extremity edema that occurs after pelvic lymph-node dissection. Contrast-enhanced computed tomography (CT) was useful for diagnosis of the pseudoaneurysm and evaluation of the extent of muscle damage.

show abstract

“…The most commonly used diagnostic piece of equipment is the hand held monitoring system. Acute compartment syndrome has been described in literature as a result of direct trauma in several contact sports [8][9][10][11][12][13] or as a result of other causes including burns [14], positioning during surgery [15] and ischemic reperfusion injury [16]. Non traumatic acute anterior thigh compartment syndrome, on the other hand, is a rather rare phenomenon and has been scarcely reported in literature.…”

Section: Introductionmentioning

confidence: 99%