• Mohammed Alshakhas and Abdulla Alatel.
• Oral and Maxillofacial Surgery Division, Prince Mohammed Bin Abdulaziz Hospital, Ar Rawabi, 9259 AlWahah St., Riyadh, 14214, Saudi Arabia. alshakhasm@pmah.med.sa.
• Oral Maxillofac Surg. 2021 Sep 1; 25 (3): 417-420.

IntroductionWell leg compartment syndrome is a rare postoperative condition that occurs as a result of non-traumatic ischemic insult. It has similar pathophysiology to compartment syndrome; however, no definitive etiology is identified. Several risk factors such as patient position, leg position, young age, and high BMI for the development of this condition are considered.Case ReportA 30 years old male smoker and overweight, underwent mandibular and maxillary osteotomies in reverse Trendelenburg position. He developed a WLCS post-operative and treated with fasciotomy.ConclusionIncreased Awareness of this rare occurrence and predisposition aids in understanding and prompt management. This article provides a rare case that has occurred in reverse Trendelenburg position with less obvious risk factors than typically reported in the literature.© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature.

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