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<p>Well-leg compartment syndrome is a rare yet serious postoperative complication that may develop in limbs not directly involved in surgery. Prompt diagnosis and intervention are essential for limb preservation and optimal recovery. Several risk factors have been identified; however, preoperative prediction remains challenging. This report highlights the importance of early diagnosis through compartment pressure measurement in managing well-leg compartment syndrome following pelvic surgery. A 59-year-old female patient with cervical cancer underwent an open radical hysterectomy. In the immediate postoperative period, she reported right calf pain. As she could not communicate effectively during recovery, intramuscular compartment pressure was promptly measured using an 18-gauge needle and an arterial pressure monitoring system. Elevated pressure confirmed the diagnosis, and an emergency fasciotomy was performed. Rehabilitation and contracture prophylaxis were initiated the following day. The patient regained independent ambulation and completed postoperative chemoradiotherapy, with no evidence of recurrence. Early intervention facilitated a favorable outcome.</p>

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Case report on critical well-leg compartment syndrome: early diagnosis and treatment after cervical cancer surgery

  • 期刊论文

  • 发表日期：

    2025年10月4日

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  • Makiko Omi,
  • Masanori Saito,
  • Shogo Nishino,
  • Atsushi Fusegi,
  • Yoichi Aoki,
  • Sanshiro Okamoto,
  • Hiroyuki Kanao

摘要

Well-leg compartment syndrome is a rare yet serious postoperative complication that may develop in limbs not directly involved in surgery. Prompt diagnosis and intervention are essential for limb preservation and optimal recovery. Several risk factors have been identified; however, preoperative prediction remains challenging. This report highlights the importance of early diagnosis through compartment pressure measurement in managing well-leg compartment syndrome following pelvic surgery. A 59-year-old female patient with cervical cancer underwent an open radical hysterectomy. In the immediate postoperative period, she reported right calf pain. As she could not communicate effectively during recovery, intramuscular compartment pressure was promptly measured using an 18-gauge needle and an arterial pressure monitoring system. Elevated pressure confirmed the diagnosis, and an emergency fasciotomy was performed. Rehabilitation and contracture prophylaxis were initiated the following day. The patient regained independent ambulation and completed postoperative chemoradiotherapy, with no evidence of recurrence. Early intervention facilitated a favorable outcome.