Crush Injury of Upper Extremity Leading to Bywater’s Syndrome: A Case Report
DOI:
https://doi.org/10.31282/joti.v7n1.126Keywords:
Crush Injury, Bywater's Syndrome, Case Report, Mess Score, Surgery, Necrotic TissueAbstract
Introduction: A male came to the ER with wounds on his left arm after a vehicle incident. He was run over by the truck’s wheels on his left upper extremity until his whole arms were crushed. He had a massive crush injury on his whole left arm, no movement or pulse was detected. MESS Scoring resulted in a score of 11, thus an indication for amputation. Blood examination showed an increase of ureum and creatinine without previous kidney disease history. The patient was diagnosed with a crush injury of the upper extremity and Bywater’s Syndrome based on kidney involvement. He was consulted by the orthopedic department and was given fluid resuscitation, injections of analgesics, antibiotics, and Human Tetanus Immunoglobulin (HTIG). Proximal humerus amputation was performed. A second surgery later was performed to debride the wound due to contaminated necrotic tissues.
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