Compartment Syndrome as a Result of Systemic Capillary Leak Syndrome
Joint Authors
Kyeremanteng, Kwadwo
D’Egidio, Gianni
Wan, Cynthia
Baxter, Alan
Rosenberg, Hans
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-09-05
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective.
To describe a single case of Systemic Capillary Leak Syndrome (SCLS) with a rare complication of compartment syndrome.
Patient.
Our patient is a 57-year-old male, referred to our hospital due to polycythemia (hemoglobin (Hgb) of 220 g/L), hypotension, acute renal failure, and bilateral calf pain.
Measurements and Main Results.
The patient required bilateral forearm, thigh, and calf fasciotomies during his ICU stay and continuous renal replacement therapy was instituted following onset of acute renal failure and oliguria.
Ongoing hemodynamic (Norepinephrine and Milrinone infusion) and respiratory (ventilator) support in the ICU was provided until resolution of intravascular fluid extravasation.
Conclusions.
SCLS is an extremely rare disorder characterized by unexplained episodic capillary hyperpermeability, which causes shift of volume and protein from the intravascular space to the interstitial space.
Patients present with significant hypotension, hemoconcentration, hypovolemia, and oliguria.
Severe edema results from leakage of fluid and proteins into tissue.
The most important part of treatment is maintaining stable hemodynamics, ruling out other causes of shock and diligent monitoring for complications.
Awareness of the clinical syndrome with the rare complication of compartment syndrome may help guide investigations and diagnoses of these critically ill patients.
American Psychological Association (APA)
Kyeremanteng, Kwadwo& D’Egidio, Gianni& Wan, Cynthia& Baxter, Alan& Rosenberg, Hans. 2016. Compartment Syndrome as a Result of Systemic Capillary Leak Syndrome. Case Reports in Critical Care،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1100432
Modern Language Association (MLA)
Kyeremanteng, Kwadwo…[et al.]. Compartment Syndrome as a Result of Systemic Capillary Leak Syndrome. Case Reports in Critical Care No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1100432
American Medical Association (AMA)
Kyeremanteng, Kwadwo& D’Egidio, Gianni& Wan, Cynthia& Baxter, Alan& Rosenberg, Hans. Compartment Syndrome as a Result of Systemic Capillary Leak Syndrome. Case Reports in Critical Care. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1100432
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100432