• Am J Emerg Med · Dec 2013

    Case Reports

    Atraumatic painless compartment syndrome.

    • Scott Blanchard, Gregory D Griffin, and Erin L Simon.
    • Emergency Department, Akron General Medical Center, Akron, OH, USA.
    • Am J Emerg Med. 2013 Dec 1;31(12):1723.e3-4.

    AbstractAcute compartment syndrome is a time-sensitive diagnosis and surgical emergency because it poses a threat to life and the limbs. It is defined by Matsen et al (Surg Gynecol Obstet. 1978;147(6):943–949) as "a condition in which increased pressure within a limited space compromises the circulation and function of the tissues within that space." The most common cause of compartment syndrome is traumatic injury. A variety of other conditions such as vascular injuries, bleeding disorders, thrombosis, fasciitis, gas gangrene, rhabdomyolysis, prolonged limb compression, cellulitis, and nephrotic syndrome may also cause compartment syndrome. Patients who are elderly, have preexisting nerve damage, or have psychopathology may have an atypical presentation. This case highlights the first report of a 75-year-old woman who developed painless bilateral compartment syndrome in the absence of traumatic injury.

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