Case report: morbid obesity and lithotomy positioning: a high-risk triad with GCS leading to severe rhabdomyolysis with impending acute compartment syndrome following ovarian cancer cytoreduction

Venous thromboembolism (VTE) prophylaxis with graduated compression stockings (GCS) is a standard of care in gynecologic oncology surgery; however, the mechanical risks in specific patient populations require critical attention. A 24-year-old morbidly obese patient (BMI 41.7 kg/m²) with ovarian carcinoma developed severe rhabdomyolysis and impending acute compartment syndrome (ACS) after a 7.5-hour fertility-preserving cytoreduction performed in the Trendelenburg position with lithotomy, during