PMC4855417_01
One hour postoperatively, the patient complained of severe cramping-type pain, swelling and serious tenderness on palpation in both legs.
gr1.jpg
PMC4855417_01_gr1.jpg
fig0005
One hour after the operation, the patient complained of severe cramping-type pain, swelling and serious tenderness on palpation in both legs (Fig. 1).
Emergency bilateral fasciotomy with double incisions to release all four compartments was performed. All compartment muscles were extruded from the compartment and found to exhibit abnormal swelling and a slightly dark appearance.
gr2.jpg
PMC4855417_01_gr2.jpg
fig0010
All compartment muscles were extruded from the compartment and found to exhibit abnormal swelling and a slightly dark appearance (Fig. 2), although there was no evidence of necrosis of the muscles.
There was no evidence of necrosis of the muscles. The incision was left open with sterile dressings.
gr3.jpg
PMC4855417_01_gr3.jpg
fig0015
The incisions were left open with sterile dressings (Fig. 3), and closure of the incisions was performed two weeks later.