关键词: bone tumor compartment syndrome fasciotomy

来  源:   DOI:10.1093/jscr/rjae470   PDF(Pubmed)

Abstract:
Compartment syndrome is a rare critical condition that can arise in individuals with cancer, presenting with significant challenges in diagnosis and management. Compartment syndrome occurs when the pressure within a closed fascial space rises to a point that restricts circulation. A 56 year-old male patient presented with 2 days of pain and swelling in the right upper extremity pain. Physical examination was remarkable for right upper extremity erythema swelling and tense compartments, concerning for compartment syndrome. Humerus X-ray showed moth eaten appearance of mid humerus with periosteal reaction and fracture. Patient was taken to the operating room for anterior and posterior compartment fasciotomies. Compartment syndrome is a surgical emergency, for which fasciotomy is generally performed. Pathology has rarely been linked to malignancy, with seldom reports examining causation. More research regarding pathophysiology of cancer in relation to compartment syndrome needs to be conducted.
摘要:
筋膜室综合征是一种罕见的危重病,可能出现在癌症患者身上,在诊断和管理方面面临重大挑战。当闭合的筋膜空间内的压力上升到限制循环的点时,发生隔室综合征。一名56岁的男性患者在右上肢疼痛中出现2天的疼痛和肿胀。体格检查为右上肢红斑肿胀和紧张的隔室。关于室综合征。肱骨X线显示肱骨中部有蛾食外观,伴骨膜反应和骨折。患者被带到手术室进行前后室筋膜切开术。筋膜室综合征是一种外科急症,通常进行筋膜切开术。病理学很少与恶性肿瘤有关,很少有报告检查因果关系。需要进行更多关于与骨筋膜室综合征相关的癌症病理生理学的研究。
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