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Kowalski B, Wagner J, Gogos A, Wonerow M. [Load induced compartment syndrome of the supraspinatus muscle : Case report of an unusual diagnosis]. UNFALLCHIRURGIE (HEIDELBERG, GERMANY) 2022; 125:580-582. [PMID: 34324035 DOI: 10.1007/s00113-021-01064-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/15/2021] [Indexed: 02/07/2023]
Affiliation(s)
- Benedikt Kowalski
- Orthopädie/Sportmedizin, Regionalspital Surselva AG, Spitalstraße 6, 7130, Ilanz, Schweiz.
| | - Julia Wagner
- Department Chirurgie, GZO Spital Wetzikon, Spitalstraße 66, 8620, Wetzikon, Schweiz
| | - Alexander Gogos
- Department Chirurgie, GZO Spital Wetzikon, Spitalstraße 66, 8620, Wetzikon, Schweiz
| | - Martin Wonerow
- Orthopädie/Sportmedizin, Regionalspital Surselva AG, Spitalstraße 6, 7130, Ilanz, Schweiz
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Quan Z, Zeng H, Yi X, Li C, Fang Z, Yang X. Psoas Major and Iliopsoas Hematomas without Anticoagulant Therapy as a Complication of Carbon Monoxide Poisoning: A Case Report. AMERICAN JOURNAL OF CASE REPORTS 2021; 22:e933322. [PMID: 34556624 PMCID: PMC8477982 DOI: 10.12659/ajcr.933322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
BACKGROUND Carbon monoxide poisoning is a common reason for Emergency Department admissions worldwide. The symptoms of carbon monoxide poisoning vary from headache and dizziness to severe neuropsychological and cardiac impairment. However, psoas major and iliopsoas hematomas are a rare complication of carbon monoxide poisoning. CASE REPORT A 46-year-old man with carbon monoxide poisoning, after he had been exposed to burning coal without proper ventilation, presented with right low back pain on day 7 after onset. After 2 days, ecchymosis of the right flank occurred, and his hemoglobin concentration gradually decreased. Psoas major and iliopsoas hematomas were shown on computed tomography (CT). The hematomas were successfully treated with transfusions and physical therapy. Owing to the absence of skeletal muscle compartment syndrome, surgical decompression was unnecessary. The patient did not receive anticoagulant therapy during his hospitalization. CONCLUSIONS The direct toxicity of carbon monoxide on the muscles and body weight-induced muscle compression caused skeletal muscle ischemia and necrosis in our patient. The risk of rhabdomyolysis and coagulation abnormality was elevated. Finally, intramuscular hemorrhages occurred in our patient. When a patient has back pain and decreased hemoglobin levels, clinicians should consider the possibility of psoas major and iliopsoas hematomas, and the administration of anticoagulation should be used with caution after admission.
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Affiliation(s)
- Zhenglin Quan
- Department of Emergency, Taihe Hospital, Jinzhou Medical University Union Training Base, Shiyan, Hubei, China (mainland).,Department of Emergency, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China (mainland)
| | - Huanchao Zeng
- Department of Emergency, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China (mainland)
| | - Xianfu Yi
- Department of Emergency, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China (mainland)
| | - Changsheng Li
- Department of Emergency, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China (mainland)
| | - Zhicheng Fang
- Department of Emergency, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China (mainland)
| | - Xianyi Yang
- Department of Emergency, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China (mainland)
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