Systemic Capillary Leak Syndrome Associated with Compartment Syndrome

Masami Matsumura; Yasushi Kakuchi1; Ryoko Hamano; Susumu Kitajima; Akihito Ueda; Mitsuhiro Kawano; Masakazu Yamagishi

doi:10.2169/internalmedicine.46.0254

CASE REPORTS

Systemic Capillary Leak Syndrome Associated with Compartment Syndrome

Masami Matsumura, Yasushi Kakuchi1, Ryoko Hamano, Susumu Kitajima, Akihito Ueda, Mitsuhiro Kawano, Masakazu Yamagishi

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Keywords: hypovolemic shock, hemoconcentration, hypoalbuminemia, monoclonal gammopathy

JOURNAL OPEN ACCESS

2007 Volume 46 Issue 18 Pages 1585-1587

DOI https://doi.org/10.2169/internalmedicine.46.0254

Details

Abstract

Systemic capillary leak syndrome is characterized by recurrent hypovolemic shock attributable to increased systemic capillary leakage. A 26-year-old woman was admitted because of recurrent episodes of hypovolemic shock. Hemoconcentration, hypoalbuminemia, and monoclonal gammopathy were observed. We diagnosed systemic capillary leak syndrome. Three years later, she again had an attack of systemic capillary leak syndrome complicated with pretibial compartment syndrome. This case emphasizes the importance of muscle compartment pressure monitoring during volume resuscitation in patients with systemic capillary leak syndrome.

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