Korean J Anesthesiol.  1984 Dec;17(4):389-392.

Paralysis of One Leg Accompanied by Renal Failure Resulting from the Use of a Tourniquet

• Chang CW
• Jeon JK

Abstract

This is a case of an accidental prolonged tourniquet application on the lower extremity. A 31 year old, well developed male had an open reduction for a clavicle fracture and nerve graft of the injured arm. To obtain the nerve from the leg, a tourniquet was applied and remained on the right lower extremity for 4hours. Post-operatively, he developed severe edema with paralysis of that leg. Thereafter, progressively he had signs of acute tubularnecrosis with oliguria, myoglobinuria, elevation of BUN and creatinine, and finally pulmonary edema. He recovered graually from the renal failure, pulmonary edema and paralysis of the leg as he received intermittent peritoneal dialysis for renal failure and intensive respiratory care for pulmonary edema. He went home in good condition only with a slight residual sensory loss of the injured leg 90 days after his admission.

MeSH Terms

Adult
Arm
Clavicle
Creatinine
Edema
Humans
Leg*
Lower Extremity
Male
Myoglobinuria
Oliguria
Paralysis*
Peritoneal Dialysis
Pulmonary Edema
Renal Insufficiency*
Tourniquets*
Transplants
Creatinine