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KMID : 0359920090280050496
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Korean Journal of Nephrology
2009 Volume.28 No. 5 p.496 ~ p.500
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Gluteal and Thigh Compartment Syndrome due to Rhabdomyolysis Following Prolonged Immobilization
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Chio Yong-Hoon
Kim Young-Baek
Ahn Soo-Young
Jang Yun-Mi
Kim Byum-Sung
Park Jung-Hwan
Lee Jong-Ho
Lee Seung-Jun
Koh Seong-Eun
Oh Jee-Young
Jo Young-Il
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Abstract
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Compartment syndrome is rarely associated with non-traumatic rhabdomyolysis. We report the case of a 23-year-old man who developed compartment syndrome associated with rhabdomyolysis caused by prolonged immobilization after antidepressive drug overdose. Elevation of serum creatine phosphokinase and myoglobinuria indicated rhabdomyolysis. Painful swelling of the right buttock and thigh and right lower limb paralysis with sensory and motor deficit were suggestive of gluteal and thigh compartment syndrome with the complication of sciatic nerve injury. The patient received an immediate fasciotomy, medical treatment and rehabilitation. At five months after initial treatment, the patient could walk independently with nearly full recovery of his right lower limb function.
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KEYWORD
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Rhabdomyolysis, Compartment syndrome, Sciatic nerve
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