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Acquired Constricting Band Syndrome.

N Maharjan1, S Jaiswal1, P B Pokharel1

  • 1Department of Burns and Plastic Surgery, National Academy of Medical Sciences, Bir Hospital, Mahabouddha, Kathmandu, Nepal.

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|November 14, 2019
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Summary

Superstitious beliefs caused a man to wear rubber bands, leading to severe constricting band syndrome. Delayed treatment resulted in gangrene and autoamputation, highlighting the dangers of untreated compartment syndrome.

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Area of Science:

  • Medicine
  • Surgery
  • Orthopedics

Background:

  • Constricting band syndrome arises from prolonged external pressure.
  • Acute compartment syndrome is a surgical emergency causing tissue damage due to increased pressure within fascial compartments.

Observation:

  • A 46-year-old male presented with symptoms of constricting band syndrome.
  • The patient habitually wore rubber bands on all fingers, driven by superstitious beliefs.
  • Presentation was delayed, leading to severe complications.

Findings:

  • The patient developed gangrene and autoamputation of digits.
  • The condition was a direct result of prolonged constricting band syndrome.
  • Late diagnosis and intervention exacerbated tissue damage.

Implications:

  • This case underscores the critical need for prompt diagnosis and treatment of acute compartment syndrome.
  • It highlights how seemingly benign practices can lead to devastating limb-threatening outcomes.
  • Awareness among healthcare providers and the public regarding constricting band syndrome is crucial.