AI Article Synopsis

  • Acute compartment syndrome is a serious condition that needs quick diagnosis and surgery, especially in hemodialysis patients who may experience it after minor trauma.
  • Two cases of hemodialysis patients showed compartment syndrome in the forearm, caused by hematomas from minor blood vessel disruptions; surgical treatment led to improved healing without further functional issues.
  • Long-term hemodialysis patients have increased risks of blood vessel fragility, so medical professionals should be alert to minor traumas that could lead to hematoma and compartment syndrome.

Article Abstract

Introduction: Acute compartment syndrome is a condition that requires an immediate diagnosis and surgical management. Compartment syndrome related to hematoma caused by minor trauma in hemodialysis patients is rarely reported.

Case Presentation: We present two cases of hemodialysis patients diagnosed with compartment syndrome of the forearm due to hematoma caused by the disruption of blood vessels after a minor trauma. The removal of the hematoma and fasciotomy with adequate skin care significantly improved soft tissue heeling with no functional impairment.

Discussion: A long-term history of hemodialysis may increase the vascular vulnerability and have the potential risk of disruption by minor trauma. When the blood vessel is disrupted, a hematoma is formed and necessitating emergent surgical intervention.

Conclusion: Surgeons should be aware of the potential risk of damage to blood vessels with minor trauma that results in the formation of a hematoma and compartment syndrome in hemodialysis patients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10432788PMC
http://dx.doi.org/10.1016/j.ijscr.2023.108594DOI Listing

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