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Spontaneous Thigh Compartment Syndrome

  • Author(s): Khan, Sameer K
  • Thati, Srinivas
  • Gozzard, Charles
  • et al.
Creative Commons Attribution-NonCommercial 4.0 International Public License
Abstract

A young man presented with a painful and swollen thigh, without any history of trauma, illness, coagulopathic medication or recent exertional exercise. Preliminary imaging delineated a haematoma in the anterior thigh, without any fractures or muscle trauma. Emergent fasciotomies were performed. No pathology could be identified intra-operatively, or on follow-up imaging. A review of thigh compartment syndromes described in literature is presented in a table. Emergency physicians and traumatologists should be cognisant of spontaneous atraumatic presentations of thigh compartment syndrome, to ensure prompt referral and definitive management of this limb-threatening condition. [West J Emerg Med. 2011;12(1):134-138].

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