An unusual case of post-traumatic Perthes syndrome in adult

OA Idrissi *, MT Riffi, N Houari, S Touzani, A Bouazzaoui, B Bouketta and N Kanjaa

Anesthesiology and Intensive Care department A2, Hassan II University Hospital, Sidi Mohamed Ben Abdellah University, Fez, Morocco.
 
Case Study
World Journal of Advanced Research and Reviews, 2024, 21(01), 1718–1722
Article DOI: 10.30574/wjarr.2024.21.1.0210
 
Publication history: 
Received on 07 December 2023; revised on 15 January 2024; accepted on 18 January 2024
 
Abstract: 
Post-traumatic Perthes syndrome in adults is a rare manifestation. It poses a management problem and treatment is based on aggressive and directed management of the cardiopulmonary systems associated with rapid recognition and treatment of progressive lesions. The result differs depending on the duration, mechanism and severity of the compression, which justifies extreme caution in the approach to these patients. We report the observation of a rare case in a patient, with a history of DALY under treatment and hypertension poorly monitored under treatment, admitted to intensive care for Perthes syndrome resulting from serious thoraco-abdominal trauma following to a fall from a crane and whose clinical evolution was satisfactory. The objective is to emphasize the beneficial effects of early treatment of this rare syndrome in adults.
 
Keywords: 
Subcutaneous emphysema; Perthes; Respiratory distress; Post traumatic; Petechiae
 
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