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Kompartmentsyndrom efter laparoskopisk sigmoideumresektion i stensnitleje
Engelsk titel: Lower limb compartment syndrome following laparoscopic sigmoid resection in the lithotomy position Läs online Författare: Krarup PM ; Rawashdeh YF Språk: Dan Antal referenser: 5 Dokumenttyp: Fallbeskrivning UI-nummer: 08051982

Tidskrift

Ugeskrift for Laeger 2008;170(18)1543-4 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Lower limb compartment syndrome subsequent to surgery in the lithotomy position is a rare but devastating complication, termed well leg compartment syndrome (WLCS). We report a case of WLCS after a 290 minute long laparoscopic sigmoid resection commenced in the Lloyd-Davies position. 27 hours after surgery, four-compartment fasciotomy was performed confirming the diagnosis of compartment syndrome. The patient was discharged with a limp, awaiting further follow-up. Surgeons must be able to diagnose WLCS as delayed treatment may result in severe neuromuscular dysfunction.