Gluteal Compartment Syndrome Secondary to Prolonged Immobilization Following Carbon Monoxide Poisoning Associated with Leukoencephalopathy: A Case Report

Overview

Journal Heliyon

Specialty Social Sciences

Date 2024 Mar 5

PMID 38439871

Authors

Mohammad Shujauddin

Ashraf T Hantouly

Isam Moghamis

Osama Alzobi

Fuad Vayalil Mazhar

Mohamed Maged Mekhaimar

Affiliations

Soon will be listed here.

Abstract

Introduction: Gluteal compartment syndrome (GCS) is a rare diagnosis that results mostly from a non-traumatic etiology. We describe a case of a gluteal compartment syndrome, complicated with sciatic nerve palsy.

Case Presentation: This paper reported a case of gluteal compartment syndrome caused by prolonged immobilization due to carbon monoxide poisoning. The case was complicated with sciatic nerve palsy and a sequala of leukoencephalopathy.

Discussion And Conclusion: This case report highlighted the importance of having a high suspicion for gluteal compartment syndrome in patients with history of lying down with prolonged immobilization. The diagnosis can be made solely on clinical examination and a fasciotomy must be performed with no delay.

References

Matsen 3rd F, Krugmire Jr R . Compartmental syndromes. Surg Gynecol Obstet. 1978; 147(6):943-9. View

Gupta A, Burgos M, Lopez-Viego M, Hus N . Gluteal Compartment Syndrome After Prolonged Immobilization in Drug Abusers. Cureus. 2020; 12(8):e9847. PMC: 7497769. DOI: 10.7759/cureus.9847. View

Gaines R, Randall C, Browne K, Carr D, Enad J . Delayed presentation of compartment syndrome of the proximal lower extremity after low-energy trauma in patients taking warfarin. Am J Orthop (Belle Mead NJ). 2009; 37(12):E201-4. View

Sheridan G, Matsen 3rd F, Krugmire Jr R . Further investigations on the pathophysiology of the compartmental syndrome. Clin Orthop Relat Res. 1977; (123):266-70. View

Mazo J, Mukhtar E, Mazo Y, Nagaraj A, Mantello M . Delayed brain injury post carbon monoxide poisoning. Radiol Case Rep. 2020; 15(10):1845-1848. PMC: 7416690. DOI: 10.1016/j.radcr.2020.07.048. View

Lee H, Lee S, Cho Y, Han S, Park S, Lee K . Sciatic neuropathy and rhabdomyolysis after carbon monoxide intoxication: A case report. Medicine (Baltimore). 2018; 97(23):e11051. PMC: 5999494. DOI: 10.1097/MD.0000000000011051. View

Khalifa R, Craft M, Wey A, Thabet A, Abdelgawad A . Missed positional gluteal compartment syndrome in an obese patient after foot surgery: a case report. Patient Saf Surg. 2020; 14:35. PMC: 7493869. DOI: 10.1186/s13037-020-00260-8. View

Rommel F, Kabler R, Mowad J . The crush syndrome: a complication of urological surgery. J Urol. 1986; 135(4):809-11. DOI: 10.1016/s0022-5347(17)45863-0. View

Snyder R . Carbon monoxide intoxication with peripheral neuropathy. Neurology. 1970; 20(2):177-80. DOI: 10.1212/wnl.20.2.177. View

10.

Matsen 3rd F . Compartmental syndrome. An unified concept. Clin Orthop Relat Res. 1975; (113):8-14. View

11.

Rahmani M, Belaidi H, Benabdeljlil M, Bouchhab W, El Jazouli N, El Brini A . Bilateral brachial plexus injury following acute carbon monoxide poisoning. BMC Pharmacol Toxicol. 2013; 14:61. PMC: 3866568. DOI: 10.1186/2050-6511-14-61. View

12.

Chim H, Soltanian H . Spontaneous compartment syndrome of the forearm in association with nephrotic syndrome and transient bacteremia. J Surg Case Rep. 2014; 2012(8):11. PMC: 3649580. DOI: 10.1093/jscr/2012.8.11. View

13.

Adrish M, Duncalf R, Diaz-Fuentes G, Venkatram S . Opioid overdose with gluteal compartment syndrome and acute peripheral neuropathy. Am J Case Rep. 2014; 15:22-6. PMC: 3899172. DOI: 10.12659/AJCR.889954. View

14.

Gunal A, Celiker H, Dogukan A, Ozalp G, Kirciman E, Simsekli H . Early and vigorous fluid resuscitation prevents acute renal failure in the crush victims of catastrophic earthquakes. J Am Soc Nephrol. 2004; 15(7):1862-7. DOI: 10.1097/01.asn.0000129336.09976.73. View

15.

Iizuka S, Miura N, Fukushima T, Seki T, Sugimoto K, Inokuchi S . Gluteal compartment syndrome due to prolonged immobilization after alcohol intoxication: a case report. Tokai J Exp Clin Med. 2011; 36(2):25-8. View

16.

Ji J . Acute Compartment Syndrome Which Causes Rhabdomyolysis by Carbon Monoxide Poisoning and Sciatic Nerve Injury Associated with It: A Case Report. Hip Pelvis. 2017; 29(3):204-209. PMC: 5612982. DOI: 10.5371/hp.2017.29.3.204. View

17.

Hu H, Sun Q . Pain in right buttock after carbon monoxide poisoning. BMJ. 2021; 373:n1233. DOI: 10.1136/bmj.n1233. View

18.

Yoshioka H . Gluteal compartment syndrome. A report of 4 cases. Acta Orthop Scand. 1992; 63(3):347-9. DOI: 10.3109/17453679209154800. View

19.

Choi I . A clinical study of peripheral neuropathy in carbon monoxide intoxication. Yonsei Med J. 1982; 23(2):174-7. DOI: 10.3349/ymj.1982.23.2.174. View

20.

Hynes J, Jackson A . Atraumatic gluteal compartment syndrome. Postgrad Med J. 1994; 70(821):210-2. PMC: 2397840. DOI: 10.1136/pgmj.70.821.210. View