Abstract
BackgroundThere has been an increasing incidence of drug abuse patients presenting with rhabdomyolysis after prolonged immobilization. Our study was to assess etiology and management challenges with patients presenting with gluteal compartment syndrome after drug abuse.MethodologyWe did a retrospective analysis of five patients who presented with gluteal compartment syndrome secondary to drug abuse over one year.ResultsWe had a 100% association with rhabdomyolysis and acute renal injury necessitating hemodialysis. There was a frequent association with the involvement of additional compartments like thigh and leg.ConclusionPatients with drug overdose can present with unusual compartment syndrome involvement like the gluteal compartment. Compartment syndrome is a surgical emergency and needs multidisciplinary involvement.
Highlights
Acute compartment syndrome manifests by an increase in intracompartmental pressure higher than that of perfusion pressure [1,2]
Our study was to assess etiology and management challenges with patients presenting with gluteal compartment syndrome after drug abuse
There has been an increasing trend of drug abuse, and we have had a few patients arrive to the emergency room after passing out secondary to drug abuse presenting with compartment syndrome and rhabdomyolysis
Summary
Acute compartment syndrome manifests by an increase in intracompartmental pressure higher than that of perfusion pressure [1,2]. Compartment syndrome is an acute limb/life-threatening situation that needs emergent surgical intervention. There has been an increasing trend of drug abuse, and we have had a few patients arrive to the emergency room after passing out secondary to drug abuse presenting with compartment syndrome and rhabdomyolysis. In a fraction of these patients, we found the significant involvement of gluteal compartment syndrome, and a retrospective study performed at our center. There has been an increasing incidence of drug abuse patients presenting with rhabdomyolysis after prolonged immobilization. Our study was to assess etiology and management challenges with patients presenting with gluteal compartment syndrome after drug abuse
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