Nawal Rafiq

Rehman Medical Institute, Pakistan

Title: Unidentified recurrent acute compartment syndrome of the right upper limb


 Acute compartment syndrome (ACS) is a surgical emergency that requires urgent fasciotomy to prevent irreversible sequelae. Symptoms usually include intense pain, tenderness in the affected area, tingling or burning sensation, and in severe cases, numbness or weakness and limb amputation due to ischemia from compression of the blood vessels, respectively. This case report describes a 19-year-old female who presented with complaints of severe pain and swelling in her right forearm. On examination, no bite marks, blisters, or skin necrosis were noted except for several surgical scars from her previous surgeries for the same condition, i.e., compartment syndrome. Upon thorough examination, including relevant investigation and clinical judgment, she was diagnosed with acute compartment syndrome, for which she underwent fasciotomy. There was no basic underlying pathology found in her case, making it an unidentified case of acute compartment syndrome.


Nawal Rafiq has completed her Medical Degree (MBBS) at the age of 24 years from Rehman Medical Institute (RMI), Peshawar, Pakistan. At the age of 25 years, she became youngest Diplomate American Board of Quality Assurance & Utilisation Review Physician and a certified healthcare and quality management (CHCQM). Till date she has published 4 articles and 2 case reports. She has done her ICH-GCP certification from National Drug Abuse Treatment Clinical Trials Network and Introduction to the Principles and Practice of Clinal Research (IPPCR) certification from Office of Clinical Research, National Institute of Health (NIH).