Compartment syndrome secondary to an atraumatic gastrocnemius tear in a patient on NOACs: presentation and complications of treatment

BMJ Case Rep. 2018 Dec 4;11(1):e225060. doi: 10.1136/bcr-2018-225060.

Abstract

Acute compartment syndrome is a limb-threatening condition often associated with high-energy injury. We present the case of a man who sustained compartment syndrome secondary to an atraumatic tear in the gastrocnemius muscle and the complications which arose in his treatment due to his being on rivaroxaban.

Keywords: drug therapy related to surgery; haematology (drugs and medicines); orthopaedic and trauma surgery; trauma; unwanted effects / adverse reactions.

Publication types

  • Case Reports

MeSH terms

  • Compartment Syndromes / chemically induced
  • Compartment Syndromes / diagnosis*
  • Compartment Syndromes / surgery
  • Diagnosis, Differential
  • Factor Xa Inhibitors / adverse effects
  • Fasciotomy
  • Hemostatic Techniques
  • Humans
  • Male
  • Middle Aged
  • Muscle, Skeletal / injuries*
  • Postoperative Hemorrhage / prevention & control
  • Pulmonary Embolism / drug therapy
  • Rivaroxaban / adverse effects

Substances

  • Factor Xa Inhibitors
  • Rivaroxaban