• Shinichi Iizuka, Naoyuki Miura, Tomokazu Fukushima, Tomoko Seki, Katuhiko Sugimoto, and Sadaki Inokuchi.
• Department of Emergency and Critical Care of Medicine, Odawara Municipal Hospital, 49 Kuno, Odawara-City, Kanagawa 250-8558, Japan. eriizuka@hotmail.com
• Tokai J. Exp. Clin. Med. 2011 Jul 20; 36 (2): 25-8.

AbstractGluteal compartment syndrome is a relatively rare condition that mostly result from atraumatic causes such as prolonged immobilization due to drug abuse or alcoholic intoxication and incorrect positioning during surgical procedures rather than traumatic causes. Early diagnosis is difficult and sometimes delayed or overlooked because of poor physical signs resulting from altered mental status and inappropriate diagnosis by clinicians. It has been reported that more than half of the cases of gluteal compartment syndrome are associated with crush syndrome and sciatic nerve palsy. Early diagnosis and immediate fasciotomy are necessary to improve the functional prognosis. Here, we report the case of a patient with gluteal compartment syndrome caused by prolonged immobilization after acute alcoholic intoxication. After disease onset, the patient developed complications of crush syndrome and sciatic nerve palsy, but immediate fasciotomy improved his condition.

23 keywords...

hide…