A rare case of acute compartment syndrome after saphenectomy

doi:10.12998/wjcc.v1.i2.84

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World Journal of Clinical Cases

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World J Clin Cases. May 16, 2013; 1(2): 84-86
Published online May 16, 2013. doi: 10.12998/wjcc.v1.i2.84

A rare case of acute compartment syndrome after saphenectomy

Marco Milone, Piero Venetucci, Salvatore Iervolino, Caterina Taffuri, Giuseppe Salvatore, Francesco Milone

Marco Milone, Piero Venetucci, Salvatore Iervolino, Caterina Taffuri, Giuseppe Salvatore, Francesco Milone, Department of Advanced Biomedical Science, University “Federico II” of Naples, 80131 Naples, Italy

Author contributions: Milone M designed the report and wrote the paper; Venetucci P performed image diagnosis; Iervolino S, Taffuri C and Salvatore G contributed to the acquisition, analysis and interpretation of data; Milone F contributed to the final approval of the version to be published.

Correspondence to: Marco Milone, MD, Department of Advanced Biomedical Science, University “Federico II” of Naples, Via Pansini 5, 80131 Naples, Italy. milone.marco@alice.it

Telephone: +39-81-7463067 Fax: +39-81-7462896

Received: January 27, 2013
Revised: March 22, 2013
Accepted: April 10, 2013
Published online: May 16, 2013
Processing time: 109 Days and 11.4 Hours

Abstract

Saphenectomy is one of the most validated criteria to treat varicose veins of the lower legs. Although many complications were well described, little is known about compartment syndrome due to muscle ischemia caused by constrictive bandages applied after stripping of varicose veins. We presented a case of successful conservative treatment of compartment syndrome after saphenectomy. Rehabilitation was found effective in improving fatigue, stiffness and tenderness showing the effectiveness of the combined conservative-rehabilitative treatment. However conservative treatment could not be considered the treatment of choice in daily practice. A severity score assessment of compartment syndrome should be useful to assess to which patients is allowed to not perform fasciotomy.

Keywords: Compartment; Saphenectomy; Varicose veins; Muscle ischemia; Rehabilitation

Core tip: A case of successful conservative treatment of compartment syndrome after saphenectomy. Rehabilitation was found effective in improving fatigue, stiffness and tenderness showing the effectiveness of the combined conservative-rehabilitative treatment.