Intensive Care Medicine

, Volume 16, Issue 5, pp 332–333 | Cite as

Capillary leakage complicated by compartment syndrome necessitating surgery

  • B. Guidet
  • B. Guerin
  • E. Maury
  • G. Offenstadt
  • P. Amstutz
Case Reports

Abstract

A single episode of systemic capillary leak syndrome is reported in a HIV-positive patient. The shock had necessitated the infusion of large amounts of fluid with concomitant diffuse swelling and weight gain leading to compartment syndrome of both legs. This required surgical relief. The initial high hematocrit (62%) and low serum protein concentration (48 g/l) with normal factor V (molecular weight above 300 000) concentrations are the hallmark of capillary leak when they are associated with hypovolemic shock. It must be emphasized that fluid resuscitation may worsen the muscle damage with ultimate compartment syndrome. Therefore, it appears reasonable to monitor muscular pressure during volume expansion in patients with capillary leak syndrome, severe shock and muscular swelling.

Key words

Capillary permeability Hypovolemic shock Rhabdomyolysis Surgery 

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Copyright information

© Springer-Verlag 1990

Authors and Affiliations

  • B. Guidet
    • 1
  • B. Guerin
    • 1
  • E. Maury
    • 1
  • G. Offenstadt
    • 1
  • P. Amstutz
    • 1
  1. 1.Service de Réanimation PolyvalenteHôpital Saint-AntoineParis Cedex 12France

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