Compartment syndrome in all four extremities: a rare case associated with systemic capillary leak syndrome

摘要: While isolated limb injuries often lead to suspicion for and treatment of compartment syndrome, multi-limb syndrome induced by a systemic disease is rare entity, in which lack immediate diagnosis can have catastrophic consequences the patient. We present patient with idiopathic capillary leak (SCLS) resulting all four extremities. Treatment required bilateral hand, forearm, calf, thigh fasciotomies. Presenting symptoms included pain extremities, malaise, confusion. Laboratory data polycythemia, hypoalbuminemia, leukocytosis, elevated creatinine, but not monoclonal spike on serum electrophoresis as common SCLS. Thus, when faced clinical evidence multiple extremity surgeon should consider disorders, such SCLS, aggressively treat well underlying disease.