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DOI: 10.5935/2177-1235.2024RBCP0850-PT
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
▪ 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/)
Thieme Revinter Publicações Ltda.
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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
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REFERÊNCIAS
- 1 Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Boletim Epidemiológico [Internet]. Volume 53. Brasília: Secretaria de Vigilância em Saúde; 2022. . Disponível em: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/epidemiologicos/edicoes/2022
- 2 Brasil. Ministério da Saúde [Internet]. Série histórica de acidentes ofídicos - 2000–2022. Disponível em: https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/a/animais-peconhentos/acidentes-ofidicos/publicacoes/serie-historica-de-acidentes-ofidicos-2000-2022/view
- 3 Graciano AR, Carvalho KCN. Síndrome compartimental associada a acidente ofídico por serpente do gênero Bothrops: relato de caso . Rev Pesq Saúde 2017; 18 (01) 54-56
- 4 Gutiérrez JM, Calvete JJ, Habib AG, Harrison RA, Williams DJ, Warrell DA. Snakebite envenoming. Nat Rev Dis Primers 2017; 3: 17063
- 5 de Silva HJ, Kasturiratne A, Pathmeswaran A, Lalloo DG. Snakebite: the true disease burden has yet to be determined. Ceylon Med J 2013; 58 (03) 93-95
- 6 Kasturiratne A, Wickremasinghe AR, de Silva N, Gunawardena NK, Pathmeswaran A, Premaratna R. et al. The global burden of snakebite: a literature analysis and modelling based on regional estimates of envenoming and deaths. PLoS Med 2008; 5 (11) e218
- 7 Pinho FMO, Pereira ID. Ofidismo. Rev Assoc Med Bras 2001; 47 (01) 24-29
- 8 Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. [boletim na internet]. Boletim Epidemiológico [Internet]. Volume. 50 nº 11. Brasília: Secretaria de Vigilância em Saúde; 2019. [acesso: 2020 Maio 30]. Disponível em: https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/a/animais-peconhentos/acidentes-por-abelhas/arquivos/boletim-epidemiologico-11-vol-50-mar-2019-acidentes-de-trabalho-por-animais-peconhentos-entre-trabalhadores-do-campo-floresta-e-aguas-brasil-2007-a-2017.pdf/view
- 9 Waheed H, Moin SF, Choudhary MI. Snake Venom: From Deadly Toxins to Life-saving Therapeutics. Curr Med Chem 2017; 24 (17) 1874-1891
- 10 Severyns M, Nevière R, Resiere D, Andriamananaivo T, Decaestecker L, Mehdaoui H. et al. Case report: Bothrops lanceolatus snakebite surgical management - Relevance of fasciotomy. Am J Trop Med Hyg 2018; 99 (05) 1350-1353
- 11 Russell JJ, Schoenbrunner A, Janis JE. Snake Bite Management: A Scoping Review of the Literature. Plast Reconstr Surg Glob Open 2021; 9 (04) e3506
- 12 White J. Snakebite worldwide: Management. Danzl DF, Wiley JF. Waltham: UpToDate; 2021. [acesso 2021 Dez 29]. Disponível em: https://www.uptodate.com/contents/snakebites-worldwide-management
- 13 Valente-Aguiar MS, Gonçalves da Costa E Silva B, Magalhães T, Dinis-Oliveira RJ. Compartment Syndrome following Bothrops Snakebite Leads to Decompressive Fasciotomies. Case Rep Med 2019; 2019: 6324569
- 14 Kim YH, Choi JH, Kim J, Chung YK. Fasciotomy in compartment syndrome from snakebite. Arch Plast Surg 2019; 46 (01) 69-74
- 15 Hamdi MF, Baccari S, Daghfous M, Tarhouni L. Upper limb compartment syndrome after an adder bite: a case report. Chin J Traumatol 2010; 13 (02) 117-119
- 16 Chung KC, Yoneda H, Modrall G. Pathophysiology, classification, and causes of acute extremity compartment syndrome. Butler CE. UpToDate. Waltham: UpToDate; 2023. [acesso 2022 Jan 10]. Disponível em: https://www.uptodate.com/contents/pathophysiology-classification-and-causes-of-acute-extremity-compartment-syndrome
- 17 Galli R, Baptista RR, Barreiro GC, Reis JOG, Fortes FSG, Ferreira MC. Tratamento cirúrgico dos defeitos complexos causados por acidentes por animais peçonhentos. Rev Bras Cir Plást 2011; 26 (03) 9
- 18 Igoumenou VG, Kokkalis ZT, Mavrogenis AF. Fasciotomy Wound Management. Mauffrey C, Hak DJ, Martin III MP. Compartment Syndrome: A Guide to Diagnosis and Management. Cham: Springer; 2019.
- 19 Alkhalifah MK, Almutairi FSH. Optimising Wound Closure Following a Fasciotomy: A narrative review. Sultan Qaboos Univ Med J 2019; 19 (03) e192-e200
- 20 Jauregui JJ, Yarmis SJ, Tsai J, Onuoha KO, Illical E, Paulino CB. Fasciotomy closure techniques. J Orthop Surg (Hong Kong) 2017; 25 (01) 2309499016684724