Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Does the intrapelvic compartment syndrome exist?

M Hessmann1, P Rommens

  • 1Department of Traumatology, University Hospitals of the Johannes-Gutenberg-University, Mainz, Germany.

Acta Chirurgica Belgica
|April 16, 1998
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Sporting activity after burst fractures of the thoracic and lumbar spine A retrospective clinical trial].

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie·2013
Same author

Operative treatment of tibial shaft fractures: a comparison of different methods of primary stabilisation.

Archives of orthopaedic and trauma surgery·2008
Same author

[Procedural analgesia : concepts and practice].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2008
Same author

[The cloverleaf plate for osteosythesis of humeral head fractures. Definition of the current position].

Der Unfallchirurg·2006
Same author

[Monteggia injuries in adults: Critical analysis of injury pattern, management, and results].

Der Unfallchirurg·2004
Same author

Posterior wall fractures of the acetabulum: characteristics, management, prognosis.

Acta chirurgica Belgica·2002
Same journal

Tailored surgical planning in TEP inguinal hernia repair: a multivariate analysis of obesity and hernia defect size.

Acta chirurgica Belgica·2026
Same journal

Incidence of tissue-based inguinal hernia repair in Belgium: a web-based national survey.

Acta chirurgica Belgica·2026
Same journal

Breast implant-associated anaplastic large cell lymphoma following prophylactic mastectomy & breast reconstruction: a case report.

Acta chirurgica Belgica·2026
Same journal

Skin bridge versus conventional rods for loop enterostomies: a systematic literature review and meta-analysis.

Acta chirurgica Belgica·2026
Same journal

Risk factors associated with urinary tract infection within 4 days of male rectal cancer surgery in the era of enhanced recovery after surgery (ERAS) programs.

Acta chirurgica Belgica·2026
Same journal

Redo endoscopic assisted coronary artery bypass grafting in an 86-year-old patient: a case report and technical review.

Acta chirurgica Belgica·2026
See all related articles

Intrapelvic compartment syndrome, a rare condition, can cause anuria and renal failure due to pelvic fractures compressing ureters. Prompt surgical intervention to stabilize fractures and evacuate hematomas is crucial for treatment.

Area of Science:

  • Urology
  • Trauma Surgery
  • Orthopedic Surgery

Background:

  • Pelvic compartment syndrome is a rare condition characterized by elevated intra-compartmental pressure.
  • The gluteal compartments are most commonly affected in pelvic compartment syndromes.
  • Intrapelvic compartment syndrome specifically involves ureteral compression within the true pelvis.

Observation:

  • Three patients presented with bilateral ureteral obstruction and anuria with renal failure.
  • This obstruction was caused by massive retroperitoneal hematomas secondary to unstable pelvic ring or acetabular fractures.
  • Anuria developed 24-48 hours post-injury, necessitating differentiation from other causes like hypovolemic shock.

Findings:

  • Bilateral ureteral compression by retroperitoneal hematomas constitutes an intrapelvic compartment syndrome.

Related Experiment Videos

  • Temporary management with bilateral tube nephrostomy is suboptimal.
  • Effective treatment involves fracture stabilization and surgical evacuation of the hematoma to decompress the ureters.

    • Implications:

    • Prompt diagnosis and surgical management are essential for treating intrapelvic compartment syndrome.
    • Surgical revision includes hematoma evacuation, ureteral decompression, and potential bleeding point ligation.
    • Internal fracture fixation can be performed concurrently if the patient is hemodynamically stable, with a potential need for a second look procedure.