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Case report
Emergency fasciotomy in an anticoagulated patient with low energy posterior thigh injury
  1. Verity Brooker1,
  2. Robert Brown2,
  3. Luke Thornton3 and
  4. Edward Wood4
  1. 1Obs & Gynae, Countess of Chester Hospital, Chester, UK
  2. 2General Surgery, Countess of Chester Hospital, Chester, UK
  3. 3Health Education England North West, Manchester, UK
  4. 4Orthopaedics, Countess of Chester Hospital, Chester, UK
  1. Correspondence to Dr Robert Brown; robert.brown7{at}


We present a case of a 58-year-old patient with a low energy trauma developing compartment syndrome. He required multiple surgeries, including fasciotomy and removal of a large haematoma. He continued to bleed with a vacuum-assisted closure dressing in situ, requiring prothrombin complex Concentrate and blood transfusion. This case highlights the need for an increased awareness of possible development of compartment syndrome following low impact trauma in a patient who is anticoagulated and raises the question of a possible period of observation for those who may be at risk.

  • trauma
  • orthopaedics
  • pharmacodynamics

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  • Contributors This submission was planned and conducted by VB and RB with advice/input on reporting by LT. EW provided oversight as the senior author. VB and RB contributed equally to this paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.