Pulmonary embolism associated with a vacuum-induced arm compartment syndrome : A setting for increased vigilance

Vacuum injuries, otherwise known as negative pressure injuries, are unique mechanisms of traumatic injury. There are few reports of this mechanism in the literature and, although rare, familiarity with the presentation and management is essential to be life and limb saving. In addition, because of the severe inflammatory process, the potential is increased for life-threatening thrombosis and embolism. This is a case of a circumferential vacuum injury to the arm requiring fasciotomy complicated by development of pulmonary embolism. We describe treatment, postoperative management and a review of the relevant literature.