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Updated: May 9, 2026

A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
Published on: May 31, 2019
Spontaneous sequential compartment syndrome of the lower limbs
Said Abisi1, Yao Pey Yong, Andrew Beech
11Department of Vascular and Endovascular Surgery, Nottingham University Hospital, Nottingham, United Kigdom.
Spontaneous compartment syndrome, a rare condition, necessitates prompt surgical intervention. This case highlights its occurrence in a patient with uncontrolled type 1 diabetes, emphasizing the need for vigilance in managing diabetic patients.
Area of Science:
- Orthopedics
- Endocrinology
- Vascular Surgery
Background:
- Spontaneous compartment syndrome is a rare clinical emergency.
- It is characterized by increased intracompartmental pressure, compromising circulation and tissue viability.
- Association with diabetes mellitus has been previously reported.
Observation:
- A case of acute spontaneous sequential compartment syndrome affecting the lower limbs is presented.
- The patient had a history of poorly controlled type 1 diabetes mellitus.
- Sequential involvement of multiple lower limb compartments was observed.
Findings:
- The patient presented with symptoms indicative of acute compartment syndrome in both lower limbs.
- Poor glycemic control in type 1 diabetes was a significant comorbidity.
- The spontaneous and sequential nature of the syndrome in this diabetic patient is noteworthy.
Implications:
- This case underscores the potential association between poorly controlled diabetes and spontaneous compartment syndrome.
- Early diagnosis and surgical decompression are crucial for limb salvage.
- Further research may elucidate the pathophysiological mechanisms linking diabetes and spontaneous compartment syndrome.
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