Case report

Systemic Capillary Leak Syndrome associated with hypovolemic shock and compartment syndrome. Use of transpulmonary thermodilution technique for volume management

Bernd Saugel¹ , Andreas Umgelter¹ , Friedrich Martin² , Veit Phillip¹ , Roland M Schmid¹ and Wolfgang Huber¹

¹  II. Medizinische Klinik und Poliklinik, Klinikum rechts der Isar der Technischen Universität München, Ismaninger Str. 22, D-81675 München, Germany

²  Klinik München Perlach, Schmidbauer Str. 44, D-81737 München, Germany

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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2010, 18:38doi:10.1186/1757-7241-18-38

Published:	5 July 2010

Abstract

Systemic Capillary Leak Syndrome (SCLS) is a rare disorder characterized by increased capillary hyperpermeability leading to hypovolemic shock due to a markedly increased shift of fluid and protein from the intravascular to the interstitial space. Hemoconcentration, hypoalbuminemia and a monoclonal gammopathy are characteristic laboratory findings. Here we present a patient who suffered from SCLS with hypovolemic shock and compartment syndrome of both lower legs and thighs. Volume and catecholamine management was guided using transpulmonary thermodilution. Extended hemodynamic monitoring for volume and catecholamine management as well as monitoring of muscle compartment pressure is of crucial importance in SCLS patients.