Gluteal Compartment Syndrome Following Abdominal Aortic Aneurysm Repair: A Case Report

Chew, Min‐Hoe; Xu, G.G.; Ho, P; Lee, C.W.

doi:10.1016/j.avsg.2008.08.019

Cited by 6 publications

(5 citation statements)

References 35 publications

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“… BMI: body mass index; AAA: abdominal aortic aneurysm; BMI: body mass index; EVAR: endovascular aneurysm repair; NR: not reported. References: Benevides & Nochi Júnior (2006); Cameron-Gagné et al (2018); Chew et al (2009); Hau et al (2016); Keene et al (2010); Kumar et al (2007); Matta & Kelley (2014); Mohanty et al (2019); O’Leary et al (2010); Oates et al (2016); Osteen & Haque (2012); Pereira & Heath (2015); Polacek et al (2009); Pua et al (2005); Reisiger et al (2005); Rudolph et al (2011); Sarwar & Ting (2017); Somayaji et al (2005); Ting et al (2015); Viviani et al (2016). …”

Section: Discussionmentioning

confidence: 99%

‘A pain in the buttock’: A case report of gluteal compartment syndrome after robotic partial nephrectomy

Yang

Anidjar

Azzam

2022

Journal of Perioperative Practice

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Acute compartment syndrome is a surgical emergency that, if unrecognised, leads to tissue and muscle ischaemia, necrosis, multi-organ failure and even death. Gluteal compartment syndrome is a rare type of compartment syndrome that typically occurs as a sequela of trauma, and its presentation may be difficult to recognise. We describe a case of a patient who developed gluteal compartment syndrome following a prolonged renal surgery in lateral decubitus position. Our case report aims to raise clinicians’ awareness to consideration of this rare syndrome in patients presenting with lower extremity or back pain after prolonged surgery.

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Section: Discussionmentioning

confidence: 99%

‘A pain in the buttock’: A case report of gluteal compartment syndrome after robotic partial nephrectomy

Yang

Anidjar

Azzam

2022

Journal of Perioperative Practice

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“…The most commonly reported causes of prolonged immobilization leading to gluteal compartment syndrome in the literature include heavy substance use and surgical positioning [2][3][4][5][6][7]. Traumatic injuries, typically resulting from a crush injury to the lower lumbar spine, pelvis, and buttocks area, comprise approximately 20% of cases.…”

Section: Discussionmentioning

confidence: 99%

Concomitant Gluteal and Thigh Compartment Syndrome Following Atraumatic Injury

McNamee¹,

Wolfers²,

Faour³

et al. 2021

Cureus

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“…10,11,13,15 Another cause of GCS is hypogastric thrombosis after open AAA repair, following aortic and common iliac occlusion for an acute-on-chronic thrombus formation. 34…”

Section: Discussionmentioning

confidence: 99%

“…One must always keep in mind the risk of damage of important neurovascular structures present in such compartment, such as the superior gluteal nerve. 34…”

Section: Discussionmentioning

confidence: 99%

Gluteal Compartment Syndrome Following Abdominal Aortic Aneurysm Treatment

Viviani

Giribono

Narese

et al. 2016

The International Journal of Lower Extremity Wounds

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Compartment syndrome (CS) is a pathological increase of the interstitial pressure within the closed osseous fascial compartments. Trauma is the most common cause, followed by embolization, burns, and iatrogenic injuries; it usually involves the limbs. The major issue when dealing with CS is the possibility to do an early diagnosis in order to intervene precociously, through a fasciotomy, reducing the risk of tissue, vascular and nervous damage. Although it is an infrequent condition, it is potentially life threatening. In our case report, we present a 59-year-old patient, smoker, affected by hypertension, dyslipidemia, chronic renal failure, and morbid obesity who came at our attention for a 6-cm abdominal aorta aneurysm, treated with an aorto-aortic graft. Within 24 hours from surgery, the patient presented acute ischemia of the right lower limb due to thrombosis of the common iliac artery and underwent the positioning of a kissing stent at the aortic bifurcation. In the immediate postoperative period, a relevant increase in serum creatinine, creatine phosphokinase, and myoglobin value was recorded, associated with clinical presentation of swelling in the right buttock with intense pain. The diagnosis of gluteal CS was confirmed by the measurement of the gluteal compartment pressure, which resulted of 110 mm Hg. The treatment of the CS consisted in gluteal dermofasciotomy, surgical debridement of the buttock, and positioning of negative pressure medication, associated with infusive therapy, avoiding hemodialysis. Because of the epidural anesthesia only later on it was possible to observe a persistent plegia of the right lower limb, which was solved within 1 month of neurological and physical therapy. With our experience, we can state that the CS is an extremely severe complication that can occur in vascular surgeries and it should therefore be kept in mind in the short-term postoperative period in order to guarantee a precocious diagnosis and immediate treatment.

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Gluteal Compartment Syndrome Following Abdominal Aortic Aneurysm Repair: A Case Report

Cited by 6 publications

References 35 publications

‘A pain in the buttock’: A case report of gluteal compartment syndrome after robotic partial nephrectomy

‘A pain in the buttock’: A case report of gluteal compartment syndrome after robotic partial nephrectomy

Concomitant Gluteal and Thigh Compartment Syndrome Following Atraumatic Injury

Gluteal Compartment Syndrome Following Abdominal Aortic Aneurysm Treatment

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