Abstract:
Acute limb compartment syndrome can occur with cytotoxic snake envenomation. Ultrasound (US) assessment of the
affected limb has been suggested as an adjunct to the administration of snakebite polyvalent antivenom to ameliorate the
systemic and local effects. US may also aid in the diagnosis of compartment syndrome and the need for fasciotomy to
prevent limb loss. This report presents an adult male who had severe soft tissue swelling from a puff adder bite to the wrist
and highlights the use of US in assessing and monitoring the degree of swelling in subcutaneous and fascial compartments
of the arm. This US monitoring in conjunction with frequent physical examination avoided the need for a fasciotomy and
its attendant morbidity, resulting in complete resolution of the swelling and full recovery of limb function.
