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Extensive muscle crush injury culminating in a crush syndrome or traumatic rhabdomyolysis is often lethal unless treated actively on war footing. The causes of death in crush syndrome include hypovolemic shock, hyperkalemia, hypocalcemia, metabolic acidosis, acute myoglobinuric renal failure and the acute muscle -crush compartment syndrome. The literature is divided on the treatment, while some surgeons advocate early surgery others maintain, late surgery is best. We report a case of young mandoi:10.3889/mjms.1857-5773.2010.0108 fatcat:qach6gy45vdohkitj3eaapj2zi