A Case of Acute Arterial Occlusion Due to Exacerbation of Compartment Syndrome and Rescued by Multidisciplinary Therapy

Abstract

The case was a 16-year-old man. At the time of surgery on the 6th day of hospitalization for a left tibial fracture, a fasciotomy was performed because of acute arterial occlusion of the left lower limb due to exacerbation of the left lower leg compartment syndrome, which was thought to have occurred before the operation. However, the operation was stopped and he was transferred to our department as an emergency. Revascularization was performed by thrombectomy and endovascular treatment, and the blood flow in the tibialis anterior artery was successfully resumed within the Golden Time. However, the compartment syndrome that had occurred before the operation did not improve the peripheral circulatory insufficiency of the muscle, leading to widespread muscle necrosis. After that, he persistently performed orthopedics and multidisciplinary treatment, and succeeded in saving his limbs.