Compartment Syndrome Caused by a Hyperextension Position after Open Radical Cystectomy with Hautmann Ileal Neobladder Construction: A Rare Case of Rhabdomyolysis

Virginie Georgia Comte; Fabio Henrique de Carvalho Pavao; Emmanuelle Bovard; Tarek Laswad

doi:10.18502/aacc.v9i3.13126

Virginie Georgia Comte Department of Anesthesiology, Hospital Riviera Chablais, Rennaz, Switzerland.
Fabio Henrique de Carvalho Pavao Department of Anesthesiology, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.
Emmanuelle Bovard Department of Anesthesiology, Hospital Riviera Chablais, Rennaz, Switzerland.
Tarek Laswad Department of Radiology, Hospital Riviera Chablais, Rennaz, Switzerland.

DOI: https://doi.org/10.18502/aacc.v9i3.13126

Keywords: Compartment syndrome; Anesthesia; Perioperative medicine; Complications

Abstract

Compartment syndrome (CS) is caused by an excessive increase in compartment intramuscular pressure, which measurement is the reference diagnostic tool. We examine the case of a 44yearold man with invasive bladder cancer who underwent an open radical cystectomy. After extubation, the patient is transferred from the operating room to the Intermediate Care Unit, where he complains of severe lumbar pain on a visual analog scale of 10 that is unresponsive to opioids and is diagnosed with rhabdomyolysis due to compartment syndrome. Multidisciplinary care and multimodal analgesia approaches were used; no fasciotomy was performed; and a favourable outcome was achieved.