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Compartment Syndrome With Thrombosis of Common Iliac Artery After Gynecologic Surgery

Nakamura, Kazuto1; Aoki, Hiroshi1; Hirakawa, Takashi1; Murata, Tomomi1; Kanuma, Tatuya1; Minegishi, Takashi1

doi: 10.1097/AOG.0b013e31817e0fcd
Case Reports
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BACKGROUND: Compartment syndrome is a potentially devastating complication with possible permanent neuromuscular and kidney damage.

CASE: A woman who had undergone radical hysterectomy with pelvic and paraaortic lymphadenectomy was diagnosed with compartment syndrome of the lower left limb. Thrombosis of the left common iliac artery was also found after emergency fasciotomy.

CONCLUSION: Arterial thrombosis is less common than deep vein thrombosis during gynecologic operations, but the lithotomy position may cause insufficient arterial circulation in both the pelvis and legs.

Arterial thromboembolism can be masked by exaggerated symptoms of the compartment syndrome.

From the 1Department of Gynecology and Reproductive Medicine, Gunma University Graduate School of Medicine, Gunma, Japan.

The authors thank Dr. Hatayama and Dr. Kobayashi of the Department of Orthopedic Surgery and Dr. Takahashi and Dr. Mohara of the Department of Cardiovascular Surgery at Gunma University for their dedicated treatment of our patient.

Corresponding author: Kazuto Nakamura, Department of Gynecology and Reproductive Medicine, Gunma University Graduate School of Medicine, Gunma 371-8511, Japan; e-mail: nkazuto@med.gunma-u.ac.jp.

Financial Disclosure The authors have no potential conflicts of interest to disclose.

© 2008 The American College of Obstetricians and Gynecologists