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Delayed Presentation of Gluteal Compartment Syndrome due to Pseudoaneurysm Rupture

A Case Report

Braswell, Matthew J. MD1; Anderson, Ashley MD2; Donohue, Michael MD2; DiVito, Michelle C. MD2; White, Paul W. MD2; Wagner, Scott C. MD2

doi: 10.2106/JBJS.CC.18.00346
Case Reports

Case: We present a 26-year-old active duty man who sustained a coccygeal fracture and gluteus maximus hematoma after a fall from height during training. The patient returned 3 weeks postinjury with symptoms and physical examination findings concerning for gluteal compartment syndrome. An expanding gluteal hematoma was confirmed on imaging and the patient was taken to the operating room for emergent evacuation and endovascular hemostasis.

Conclusions: This case of gluteal compartment syndrome is a unique contribution to the literature with respect to the specific vascular injury observed and the delayed presentation of gluteal compartment syndrome.

1Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina

2Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland

E-mail address for M.J. Braswell:

Investigation performed at Walter Reed National Military Medical Center, Bethesda, Maryland

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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