This patient underwent a 5 hour nasal surgery (supine position).Surgery was uneventful and he was discharged home.Patient called reporting having progressively worsening left buttock pain and swelling.Patient had some minor pain in his left gluteal region and buttock after his surgery.There was a fairly well demarcated area of redness.Patient called the next morning as the swelling and pain worsened, and there was concern for a gluteal compartment syndrome.Patient presented to the er.Patient's creatinine kinase was significantly elevated at 9405 and ct imaging showed findings consistent with a gluteal compression syndrome.General surgery took the patient to the operating room in the evening to open the left buttock and placed a wound vac.The patient will then be returning to the operating room again two days later.
|