Acute lumbar paraspinal compartment syndrome after radical cystectomy.
BMJ Case Rep
; 17(4)2024 Apr 02.
Article
en En
| MEDLINE
| ID: mdl-38569733
ABSTRACT
Lumbar paraspinal compartment syndrome (LPCS) is a rare diagnosis, seen in patients chronically after repeated lumbar trauma or acutely in a postoperative setting. Only a dozen cases are documented worldwide, and to date no clinical guidelines exist for the diagnosis nor the treatment.We describe the case of a 44-year-old man with excruciating lower back pain following a radical cystectomy. The postoperative laboratory values were compatible with acute rhabdomyolysis. The lumbar spine MRI showed necrosis of lumbosacral paraspinal muscles, making the diagnosis of acute LPCS. After seeking advice from different specialists, the conservative approach was chosen with combined pain treatment and physiotherapy. The patient is currently still disabled for some tasks and needs chronic pain medication.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Rabdomiólisis
/
Dolor de la Región Lumbar
/
Síndromes Compartimentales
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
BMJ Case Rep
Año:
2024
Tipo del documento:
Article
País de afiliación:
Suiza