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Case Reports in Oncological Medicine
Volume 2018, Article ID 4078672, 4 pages
https://doi.org/10.1155/2018/4078672
Case Report

Skeletal Muscle Lymphoma Presenting with Chronic Compartment Syndrome of Leg after Trauma

Kaohsiung Medical University Hospital, No. 100 Tzyou 1st Road, Kaohsiung 807, Taiwan

Correspondence should be addressed to Chun-Kuan Lu; wt.gro.humk@592099

Received 21 August 2017; Revised 18 February 2018; Accepted 8 March 2018; Published 1 April 2018

Academic Editor: Jose I. Mayordomo

Copyright © 2018 Jhong-You Li et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Compartment syndrome may be acute or chronic based on the clinical course and etiology. Here, we report the first known case to be diagnosed with skeletal muscle-derived B-cell lymphoma presenting with chronic compartment syndrome after trauma. A 62-year-old woman sought medical attention due to a one-month history of painful left lower leg swelling and paresthesia of the medial side of the foot after falling over. The patient underwent fasciotomy and debridement under the preoperative diagnosis of fasciitis and myositis with associated compressive neuropathy. Preoperative laboratory tests were within normal limits. Postoperative pathologic examination and bone marrow aspiration revealed B-cell lymphoma with bone marrow involvement postoperatively. Tumor lysis syndrome took place, presenting with drowsiness, poor appetite, and oliguria, after the operation along with multiple organ failure. Awareness of the differential diagnoses of compartment syndrome in such clinical situation is crucial because it may lead to different examination and treatment plan preoperatively.