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장시간의 부동자세에 의한 횡문근융해증으로 유발된 구획증후군 1예
최용훈 ( Yong Hoon Choi ),김영백 ( Young Baek Kim ),안수영 ( Su Young Ahn ),장윤미 ( Yun Mi Jang ),김범성 ( Bum Sung Kim ),박정환 ( Jung Hwan Park ),이종호 ( Jong Ho Lee ),이승준 ( Seoung Joon Lee ),고성은 ( Sung En Koh ),오지영 ( 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.5
Compartment syndrome is rarely associated with non-traumatic rhabdomyolysis. We report the case of a 23-year-old man who developed compartment syndrome associated with rhabdomyolysis caused by prolonged immobilization after antidepressive drug overdose. Elevation of serum creatine phosphorkinase and myoglobinuria indicated rhabdomyolysis. Painful swelling of the right buttock and thigh and right lower limb paralysis with sensory and motor deficit were suggestive of gluteal and thigh compartment syndrome with the complication of sciatic nerve injury. The patient received an immediate fasciotomy, medical treatment and rehabilitation. At five months after initial treatment, the patient could walk independently with nearly full recovery of his right lower limb function.