Hip Pelvis.  2017 Sep;29(3):204-209. 10.5371/hp.2017.29.3.204.

Acute Compartment Syndrome Which Causes Rhabdomyolysis by Carbon Monoxide Poisoning and Sciatic Nerve Injury Associated with It: A Case Report

• Ji JW

• KMID: 2389528
• DOI: http://doi.org/10.5371/hp.2017.29.3.204

Abstract

Rhabdomyolysis is most frequently caused by soft tissue injury with trauma to the extremities. Non-traumatic rhabdomyolysis may be caused by alcohol or drug abuse, infection, collagen disease, or intensive exercise, but incidence is low. In particular, rhabdomyolysis resulting from carbon monoxide poisoning is especially rare. If caught before death, carbon monoxide poisoning has been shown to cause severe muscle necrosis and severe muscle damage leading to acute renal failure. In cases of carbon-monoxide-induced rhabdomyolsis leading to acute compartment syndrome in the buttocks and sciatic nerve injury are rare. We have experience treating patients with acute compartment syndrome due to rhabdomyolysis following carbon monoxide poisoning. We report the characteristic features of muscle necrosis observed during a decompression operation and magnetic resonance imaging findings with a one-year follow-up in addition to a review of the literature.

Keyword

Carbon monoxide poisoning; Rhabdomyolysis; Gluteal compartment syndrome; Sciatic neuropathy; Magnetic resonance imaging

MeSH Terms

Acute Kidney Injury
Buttocks
Carbon Monoxide Poisoning*
Carbon Monoxide*
Carbon*
Collagen Diseases
Compartment Syndromes*
Decompression
Extremities
Follow-Up Studies
Humans
Incidence
Magnetic Resonance Imaging
Necrosis
Rhabdomyolysis*
Sciatic Nerve*
Sciatic Neuropathy
Soft Tissue Injuries
Substance-Related Disorders
Carbon
Carbon Monoxide