A Rare Encounter Compartment Syndrome after High Saphenous Vein Ligation and Multiple Stab Avulsion Surgery

Authors

  • Seei Liang Lim Department of Surgery, School of Medical Science, Universiti Sains Malaysia, Kelantan, Malaysia
  • Rosnelifaizur Ramely
  • Lenny Suryani Safri
  • Kishen Raj A/L Chanda Sakaran Kishen
  • Mohamad Azim Md Idris
  • Hanafiah Harunarashid

Abstract

High saphenous vein ligation (HSVL) with stripping and multiple stab avulsion (MSA) is usually a simple and straightforward technique used to treat the varicose vein. Recurrence, infection, hematoma, sural nerve injury are commonly seen complications. Here we report a rare presentation of compartment syndrome after HSVL and MSA. The diagnosis was a challenge initially as compartment syndrome following such procedure is extremely rare and have not been reported much. The patient was subsequently treated surgically with a four-compartment fasciotomy and recovered with partial foot drop. Regardless of its cause, compartment syndrome required prompt surgical treatment and a delay of more than 6 hours can lead to irreversible myoneural damage.

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Published

05.11.2021

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