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Kompartmentsyndrom efter hugormebid
Engelsk titel: Compartment syndrome following adder bites Läs online Författare: Bröndum Poulsen J ; Katzenstein T ; Roed C ; Bayer L ; Lebech AM Språk: Dan Antal referenser: 5 Dokumenttyp: Fallbeskrivning UI-nummer: 09021954

Tidskrift

Ugeskrift for Laeger 2009;171(5)327-8 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Bites from the adder, Vipera Berus, can have serious clinical consequences due to systemic effects. Meanwhile, the local swelling calls for attention as well. Two cases of seven- and eleven-year-old boys are reported. The first patient was bitten in the 5th toe, the second in the thumb. Both developed fasciotomy-requiring compartment syndrome of the lower and upper limb, respectively. Recognition of this most seldom complication of an adder bite is vital to save the limb. We recommend that the classical signs and symptoms of compartment syndrome serve as indication for surgery. However, compartment pressure measurement can be helpful in the assessment of children.