CC BY 4.0 · Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39(01): 217712352024rbcp0850pt
DOI: 10.5935/2177-1235.2024RBCP0850-PT
Relato de Caso

Fasciotomy in the upper limb after compartment syndrome due to snakebite with subsequent grafting and z-plasty: case report

Article in several languages: português | English
1   Hospital São Vicente de Paulo, Jundiaí, Jundiaí, SP, Brasil.
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1   Hospital São Vicente de Paulo, Jundiaí, Jundiaí, SP, Brasil.
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2   Faculdade de Medicina de Jundiaí, Jundiaí, SP, Brasil.
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1   Hospital São Vicente de Paulo, Jundiaí, Jundiaí, SP, Brasil.
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2   Faculdade de Medicina de Jundiaí, Jundiaí, SP, Brasil.
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1   Hospital São Vicente de Paulo, Jundiaí, Jundiaí, SP, Brasil.
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2   Faculdade de Medicina de Jundiaí, Jundiaí, SP, Brasil.
› Author Affiliations

▪ ABSTRACT

This case study examines the clinical course of a Bothrops snakebite poisoning that occurred in Jarinu, São Paulo, Brazil, in 2021. The patient required a fasciotomy in the upper limb due to acute compartment syndrome, followed by a second surgical procedure involving dermo-epidermal grafting. In the late postoperative period, the patient experienced retraction, leading to a subsequent surgical intervention to correct the retraction in the left upper limb. The severity of the snakebite accident, the effects of venom on tissues, complications, acute compartment syndrome, as well as the indications and techniques for decompressive fasciotomy, are discussed based on the available literature.

Institution: Hospital São Vicente de Paulo, Jundiaí, SP, Brazil.




Publication History

Received: 17 July 2023

Accepted: 05 December 2023

Article published online:
20 May 2025

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
FELIPE ANDRADE LOPES, MARIANA FERNANDES INÁCIO, LEONARDO FLUD IDEAL, TONY TOBIAS JUNIOR, GIOVANNA CAVALCANTI BANOV, ALEXANDRE VENÂNCIO DE SOUSA, ROBERTA LOPES BARIANI. Fasciotomia em membro superior após síndrome compartimental por acidente ofídico com posterior enxertia e plástica em Z: relato de caso. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39: 217712352024rbcp0850pt.
DOI: 10.5935/2177-1235.2024RBCP0850-PT