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Acute lower limb compartment syndrome after Cesarean section: a case report

Radosa, Julia C. ; Radosa, Marc P. ; Sütterlin, Marc

In: Journal of medical case reports, 5 (2011), Nr. 161. pp. 1-3. ISSN 1752-1947

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Abstract: Introduction Acute compartment syndrome of the lower limb is a rare but severe intra- and post-partum complication. Prompt diagnosis is essential to avoid permanent functional restriction or even the loss of the affected limb. Clinical signs and symptoms might be nonspecific, especially in the early stages; therefore, knowledge of predisposing risk factors can be helpful. Case presentation We present the case of a 32-year-old Caucasian woman with acute post-partum compartment syndrome. Conclusion: Acute compartment syndrome is an important differential diagnosis for the sudden onset of intra- or post-partum lower-limb pain. Predisposing factors for the manifestation of acute compartment syndrome in an obstetric environment are augmented intra-partum blood loss, prolonged hypotensive episodes and the use of oxytocin to support or induce labor because of its vasoconstrictive properties. Treatment is prompt surgical decompression by performing fasciotomy in any affected muscular compartments.

Item Type: Article
Journal or Publication Title: Journal of medical case reports
Volume: 5
Number: 161
Publisher: BioMed Central
Place of Publication: London
Date Deposited: 26 May 2015 13:06
Date: 2011
ISSN: 1752-1947
Page Range: pp. 1-3
Faculties / Institutes: Medizinische Fakultät Mannheim > Frauenklinik
Subjects: 610 Medical sciences Medicine
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