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Published on: May 31, 2019
[Acute non-traumatic compartment syndrome in paediatrics. Case series and topic review]
A D Navarro-Vergara1, A Navarro-Fretes1
1Hospital de Trauma «Manuel Giagni»; Hospital Central del Instituto de Previsión Social (IPS); Universidad del Norte, Asunción, Paraguay.
Insights
Compartment syndrome after snakebite is rare but serious, especially in children. Early recognition and management are crucial for better outcomes.
Area of Science:
- Toxicology
- Pediatric Surgery
- Emergency Medicine
Background:
- Compartment syndrome is a surgical emergency often linked to fractures, but can arise from other traumas.
- Delayed diagnosis is common, particularly in pediatric cases where symptom communication is limited.
- Snakebite envenomation is an uncommon but potential cause of compartment syndrome.
Observation:
- A case series of three pediatric patients diagnosed with compartment syndrome following snakebite was reviewed.
- Exclusion criteria included compartment syndrome secondary to trauma or fractures.
- A multidisciplinary approach was utilized to manage the patients.
Findings:
- The study presented three pediatric cases of compartment syndrome resulting from snakebite.
- Clinical evolution and treatment approaches were documented for each case.
- The cases highlight the importance of considering snakebite as a cause of compartment syndrome in children.
Implications:
- This study emphasizes the need for increased awareness of snakebite-induced compartment syndrome in pediatric populations.
- It calls for further research to develop specific diagnostic and management protocols.
- Dissemination of findings among healthcare professionals is vital for timely intervention.
Introduction:
the most associated cause of compartment syndrome is fracture; however, it is not the only one. Direct trauma without bone involvement, indirect soft tissue injuries, or iatrogenic injuries can also evolve devastatingly. Often, diagnosis is delayed due to low clinical suspicion. In pediatric patients, correlating clinical findings to establish a diagnostic suspicion becomes even more challenging, as the patient does not directly communicate symptoms.
Material And Methods:
descriptive observational study of case series. Patients under 16 years of age who were hospitalized with a diagnosis of compartment syndrome following a snakebite were included. Patients with compartment syndrome related to trauma or fracture were excluded.
Results:
three cases of compartment syndrome were presented: two males and one female. A multidisciplinary approach was evaluated, and the clinical evolution of the patients was documented.
Conclusion:
this work aims to draw attention to this injury to encourage future research and the creation of protocols that allow for timely identification and appropriate management in this population, as well as its dissemination among all professionals involved in these procedures.
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