Pediatria Clínica: Acesso Aberto
Acesso livre

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Acute Compartment Syndrome in a Young Female after Marching in a Mardi Gras Parade

Sean Waldron*, Spencer Taylor, Bhumit Desai, Laura Tran, Connor Solan

Background: Acute Compartment Syndrome (ACS) is a limb threatening condition that may be identified by key physical exam findings often accompanied by history of trauma. Pediatric exercise induced compartment syndrome is an uncommon presentation.

Case presentation: A 17-year-old female with a medical history of morbid obesity presented to the emergency department with severe right lower leg pain, swelling, and loss of sensation of the lateral leg and dorsum of the foot. 3 days prior to symptom onset, the patient participated in a parade as part of a marching band. No history of injury and no other relevant medical history.

Discussion: Acute compartment syndrome, while generally associated with trauma, can have variable etiologies ranging from electrical injury to overexertion. Exercised induced compartment syndrome may present insidiously with myoedema, inflammatory cascade, and elevation of compartment pressures leading to potentially devastating consequences.