Spontaneous Compartment Syndrome of the Upper Arm in a Patient Receiving Anticoagulation Therapy

Zimmerman, D. C.; Kapoor, Tushar; Elfond, Mikhail; Scott, Paul

doi:10.1016/j.jemermed.2011.09.031

Cited by 22 publications

(17 citation statements)

References 26 publications

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“…However, compartment syndrome has been reported in long-term anticoagulated patients after minor trauma such as pulling a muscle, or light impacts,2 or even spontaneously, with no clear precipitant 3 4. It has also been reported in newly anticoagulated patients following iatrogenic interventions such as arterial puncture 5 6…”

Section: Discussionmentioning

confidence: 99%

Double jeopardy: two episodes of forearm compartment syndrome in the same patient

2015

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A 55-year-old woman taking warfarin for previous deep venous thrombosis (DVT), presented with an acutely swollen and painful forearm after forcefully contracting her forearm flexor compartment while using a car hand brake and later, an axe. Compartment syndrome was diagnosed and emergency fasciotomy performed, with a haematoma discovered between the flexor compartments of flexor digitorum superficialis (FDS) and flexor digitorum profundus (FDP). After evacuation and resolution of symptoms, the wounds were closed 4 days later. Following discharge on the fifth day, symptoms recurred without warning, prompting re-exploration and discovery of further haematoma. Symptoms again resolved and in due course a skin graft was applied to close the wound without tension.

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Section: Discussionmentioning

confidence: 99%

Double jeopardy: two episodes of forearm compartment syndrome in the same patient

2015

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“…To the authors’ knowledge, there are three reported cases of heparin-induced spontaneous compartment syndrome: one patient was on heparin for a left ventricular assist device,31 one due to a large bleed from the profunda artery32 and one 12 days after a fracture 33. There are two reported cases of warfarin-induced spontaneous compartment syndrome: one secondary to large haematoma formation in a patient who was receiving warfarin for multiple pulmonary emboli3 and the other associated with excessive warfarin therapy due to prescription error, with an INR of 8 at presentation 34…”

Section: Discussionmentioning

confidence: 99%

Non-traumatic compartment syndrome secondary to deep vein thrombosis and anticoagulation

Newman

Deo

2014

BMJ Case Reports

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We describe an unusual case of non-traumatic compartment syndrome in three compartments of the left lower limb in a 57-year-old male inpatient. He had recently been started on anticoagulation therapy for multiple pulmonary emboli and deep vein thrombosis of the left posterior tibial and peroneal veins. Three of the four osteofascial compartments had pressures above 70 mm Hg, hence four compartment fasciotomies were performed. Postoperatively, intravenous heparin therapy was started resulting in a significant blood loss, but he had no neurovascular deficit. At reoperation, for primary wound closure, his tissues looked healthy. Non-traumatic causes of acute compartment syndrome, including deep venous thrombosis and anticoagulation, are considered.

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“…Six months after the procedure he could return to weight training. a risk for compartment syndrome, (7) and making this complication even more uncommon. The main goal of treatment of acute compartment syndromes is decompression of affected nerves and vessels.…”

Section: ❚ Case Reportmentioning

confidence: 99%

Compartment syndrome after distal biceps brachii tendon rupture in an athlete

Ejnisman¹,

Belangero

Andreoli

et al. 2020

Einstein (São Paulo)

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Spontaneous Compartment Syndrome of the Upper Arm in a Patient Receiving Anticoagulation Therapy

Cited by 22 publications

References 26 publications

Double jeopardy: two episodes of forearm compartment syndrome in the same patient

Double jeopardy: two episodes of forearm compartment syndrome in the same patient

Non-traumatic compartment syndrome secondary to deep vein thrombosis and anticoagulation

Compartment syndrome after distal biceps brachii tendon rupture in an athlete

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