A case of successful surgical treatment of compartment syndrome in patient with COVID-19 associated spontaneous calf hematoma

Abstract

A rare clinical case of surgical treatment of a 60-year-old patient with acute compartment syndrome that developed in connection with a progressive spontaneous hematoma on the right leg is presented. The patient was hospitalized in the infectious diseases department of the Saint Petersburg “City Multidisciplinary Hospital № 2”for the treatment of coronavirus infection, which was complicated by bilateral polysegmental viral pneumonia and respiratory failure. During treatment, the patient complained of a large subcutaneous mass that developed in the area of the right popliteal fossa, which was moderately painful on palpation. Ultrasound duplex examination revealed a spontaneous intermuscular hematoma of the right leg measuring 10x10 cm without clinical signs of acute blood loss. Despite conservative treatment, the volume of the hematoma increased and spread to the muscle sheath of the posterior and anterior muscle groups of the right tibia. An acute compartment syndrome was diagnosed with signs of acute ischemia of the right lower limb of the IIA degree according to the classification of V. S. Saveliev, in connection with which an operative intervention was performed with a good result.