0:00

Right. Our next scan is that of compartment syndrome.

0:03

We have non-contrast arterial as well as delayed phase

0:07

imaging to help us problem solve.

0:10

So that's the patent aortoiliac vasculature that

0:14

we see. There's a femoral venous line in there on the left

0:18

side. And as we're scrolling down,

0:22

all of the arteries, they're quite small in caliber, and likely there's

0:26

some element of vasoconstriction going on because our patient

0:30

is in shock.

0:33

Physiology. And so as we're coming down, you can see here

0:37

that there's this asymmetric enlargement of the soleus muscle compared

0:41

to the contralateral side. And with that

0:45

increased bulk, there's also a diminutive caliber of the calf

0:48

arteries, particularly the peroneal artery is barely

0:52

seen. We're going to look at that delayed image just to make sure we didn't outrun

0:56

the bolus. So nothing really looks like it

0:59

is stenosed or thrombosed, but

1:03

everything does look diffusely small, especially because of

1:07

this bulky soleus muscle. So because of

1:10

the

1:12

bulky soleus muscle, the small caliber arteries, as well as

1:16

this hypoattenuating nature of the soleus

1:20

muscle, we suggested compartment syndrome and

1:24

this patient ultimately showed high compartment pressures and

1:28

underwent fasciotomy and release, and

1:33

was doing much better after that.