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Spontaneous Progressive Muscle Weakness with Persistent Leukocytosis.
Sameer A Hirji1, Manish M Karamchandani1, Jonathan W Scott1
1Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Case Reports in Surgery
|July 31, 2019
Summary
Iliacus compartment syndrome, a rare cause of femoral nerve injury, can be successfully treated with fasciotomy. Prompt diagnosis is crucial to prevent permanent nerve damage and muscle necrosis.
Area of Science:
- Neurology
- Vascular Surgery
- Orthopedic Surgery
Background:
- Iliacus compartment syndrome is a rare condition causing femoral neuropraxia.
- Delayed diagnosis is common due to unfamiliarity and the iliacus muscle's retroperitoneal location.
Observation:
- A case of spontaneous iliacus hematoma in an elderly, frail woman with end-stage renal disease and atrial fibrillation.
- The patient presented with subacute lower extremity weakness and pain.
Findings:
- Computed tomography revealed a large hematoma in the left iliacus muscle.
- Iliacus fasciotomy led to complete symptom resolution.
Implications:
- Early recognition and intervention are vital to prevent muscle necrosis, rhabdomyolysis, and permanent nerve injury.
- Fasciotomy is an effective treatment for iliacus compartment syndrome.
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