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Clinics and Practice
Volume 2
Issue 1
10.4081/cp.2012.e19
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Compartment Syndrome Obscured by Post-Operative Epidural Analgesia

by
Md Quamar Azam
*,
Mir Sadat Ali
,
Majed Al Ruwaili
and
Hassan Noori Al Sayed
Dammam University, Saudi Arabia
*
Author to whom correspondence should be addressed.
Clin. Pract. 2012, 2(1), e19; https://doi.org/10.4081/cp.2012.e19
Submission received: 26 November 2011 / Revised: 16 January 2012 / Accepted: 16 January 2012 / Published: 27 January 2012

Abstract

Compartment syndrome is an orthopedic emergency that require early recognition and urgent intervention to avoid catastrophic complications. High index of suspicion is required for early diagnosis based on a constellation of signs and symptoms that include pain out of proportion and worsened by passive stretching, altered sensorium and palpable tenseness. Any event thus, that masks pain, may lead to delay the diagnosis of compartment syndrome. We report here a case of polytrauma where post-operative analgesia was administered using epidural catheter, which obscured pain and lead to delay in recognition of compartment syndrome. Authors wish to share a lesson, learned at the expense of tragedy.
Keywords: compartment syndrome; delayed diagnosis; epidural analgesia compartment syndrome; delayed diagnosis; epidural analgesia

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MDPI and ACS Style

Azam, M.Q.; Ali, M.S.; Al Ruwaili, M.; Al Sayed, H.N. Compartment Syndrome Obscured by Post-Operative Epidural Analgesia. Clin. Pract. 2012, 2, e19. https://doi.org/10.4081/cp.2012.e19

AMA Style

Azam MQ, Ali MS, Al Ruwaili M, Al Sayed HN. Compartment Syndrome Obscured by Post-Operative Epidural Analgesia. Clinics and Practice. 2012; 2(1):e19. https://doi.org/10.4081/cp.2012.e19

Chicago/Turabian Style

Azam, Md Quamar, Mir Sadat Ali, Majed Al Ruwaili, and Hassan Noori Al Sayed. 2012. "Compartment Syndrome Obscured by Post-Operative Epidural Analgesia" Clinics and Practice 2, no. 1: e19. https://doi.org/10.4081/cp.2012.e19

APA Style

Azam, M. Q., Ali, M. S., Al Ruwaili, M., & Al Sayed, H. N. (2012). Compartment Syndrome Obscured by Post-Operative Epidural Analgesia. Clinics and Practice, 2(1), e19. https://doi.org/10.4081/cp.2012.e19

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