Assuntos
Injúria Renal Aguda , Arteriopatias Oclusivas , Injúria Renal Aguda/sangue , Injúria Renal Aguda/etiologia , Injúria Renal Aguda/urina , Adulto , Arteriopatias Oclusivas/sangue , Arteriopatias Oclusivas/complicações , Arteriopatias Oclusivas/urina , Evolução Fatal , Humanos , Masculino , Rabdomiólise/sangue , Rabdomiólise/complicações , Rabdomiólise/urinaRESUMO
INTRODUCTION: CrossFit is a physical fitness program characterized by high-intensity workouts that can be associated with serious injury. Acute compartment syndrome in the upper limbs is a rare occurrence. It may occur after intense physical exercise, and its usual treatment is surgical. Hyperbaric oxygen therapy is a treatment described as adjunctive in cases of compartmental syndrome. PRESENTATION: We describe the case of a CrossFit practitioner who, after intense training, developed progressive symptoms of rhabdomyolysis and acute bilateral arm compartment syndrome, who was successfully treated with hyperbaric oxygen therapy and required no fasciotomy as surgical treatment. CONCLUSIONS: Acute compartment syndrome in the arms after intense physical exercise is a rare occurrence that should be suspected by practitioners of physical activity experiencing intense, disproportionate and progressive pain. In the case presented, hyperbaric oxygen therapy was successfully used in the treatment of the disorder, with satisfactory progress, and without the need for a surgical fasciotomy as therapy.
Assuntos
Braço , Síndromes Compartimentais/terapia , Treinamento Intervalado de Alta Intensidade/efeitos adversos , Oxigenoterapia Hiperbárica/métodos , Doença Aguda , Adulto , Braço/diagnóstico por imagem , Síndromes Compartimentais/diagnóstico por imagem , Síndromes Compartimentais/etiologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Amplitude de Movimento Articular , Rabdomiólise/etiologia , Rabdomiólise/terapia , Rabdomiólise/urinaRESUMO
A young, active duty sailor presented with right upper quadrant abdominal pain. History, physical, and laboratory findings initially suggested cholecystitis or related disease. Further evaluation found myoglobinuria and a recently increased exercise program, leading to the diagnosis of exercise-induced right upper abdominal wall rhabdomyolysis. Although not a common cause of abdominal pain, this diagnosis should be considered in the patient with abdominal pain and a recently increased exercise program, particularly exercises of the abdominal wall such as "abdominal crunches."