Abdominal Compartment Syndrome

2019 ◽  
pp. 281-284
Author(s):  
Daniel J. Johnson
Keyword(s):  
Compartment Syndrome ◽  
Organ Dysfunction ◽  
Abdominal Compartment Syndrome ◽  
Abdominal Cavity ◽  
Diagnostic Assessment ◽  
Organ Perfusion ◽  
Abdominal Compartment ◽  
Illness Progression ◽  
Increased Pressure

In abdominal compartment syndrome (ACS), a fixed compartment (the abdomen with defined myofascial elements) is subjected to increased pressure. The result is decreased organ perfusion and subsequent dysfunction inside the abdominal cavity and the respiratory and cardiovascular systems. Given the affect of treatment for organ dysfunction, an accurate characterization of primary illness progression and ACS is crucial for diagnostic assessment.

scholarly journals Giant lymphatic malformation causing abdominal compartment syndrome in a neonate: a rare surgical emergency

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Paolo Gasparella ◽  
Georg Singer ◽  
Christoph Castellani ◽  
Erich Sorantin ◽  
Emir Q Haxhija ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Abdominal Cavity ◽  
Complete Removal ◽  
Lymphatic Malformation ◽  
Ileocecal Resection ◽  
Lymphatic Malformations ◽  
Gestational Week ◽  
Immediate Surgery ◽  
Abdominal Compartment

Abstract Abdominal lymphatic malformations in neonates require sophisticated management. In symptomatic cases, acute complications may necessitate immediate surgery. We present the case of a giant abdominal lymphatic malformation diagnosed in the 18th gestational week. Sonographic concerns about intestinal hypoperfusion in the 33rd week of gestation indicated caesarean section. Postnatal imaging confirmed a macrocystic lymphatic malformation occupying almost the complete abdominal cavity; the intestinal perfusion was normal. Clinical deterioration on Day 13 of life required laparotomy. Intraoperatively, the lymphatic mass was located in the ileocecal mesentery. Two major cysts showed recent hemorrhage explaining the onset of abdominal compartment syndrome. The malformation was completely removed. An ileocecal resection with an ileocolic anastomosis was performed. The postoperative course was uneventful. In neonates with abdominal lymphatic malformations, an onset of abdominal compartment syndrome requires surgical exploration. If feasible, the complete removal of the lesion represents a curative option.

scholarly journals Non-ICU-Based Staged Management of Laparotomy-Related Abdominal Compartment Syndrome in a 23-Year-Old Male

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Kofi Tawiah Mensah
Keyword(s):  
Compartment Syndrome ◽  
Organ Dysfunction ◽  
Abdominal Compartment Syndrome ◽  
Mesh Repair ◽  
Intraabdominal Pressure ◽  
Skin Closure ◽  
Midline Laparotomy ◽  
Case Presentation ◽  
Skin Healing ◽  
Abdominal Compartment

Introduction: Abdominal compartment syndrome (ACS) is a sustained intraabdominal pressure (IAP) of 20 mmHg or higher with new organ dysfunction. Decompression is required when IAP exceeds 25 mmHg even without evidence of organ dysfunction. Common abdominal surgical diseases and operations can be complicated by ACS, and clinicians should have the requisite capacity to detect and intervene early enough. Intensive care unit (ICU) care has traditionally been the mainstay of ACS management. Case Presentation: A 23-year-old male was referred with a combined mesh and Bogota bag anterior abdominal construct after a midline laparotomy 24 hours earlier, following which the abdominal wall could not be closed primarily without tension. This was the result of significant edema of the bowel and retroperitoneum. This patient, after adequate resuscitation, underwent a two-staged procedure, 6 days apart, to achieve skin closure. After an unremarkable skin healing, a mesh repair for the consequent incisional hernia was carried out 15 months later. Conclusions: This patient’s ACS was successfully managed in a non-ICU setting and could demonstrate the possibility of successfully managing selected cases of laparotomy-related ACS in low-resource settings without ICU facilities.

scholarly journals PORTAL VENOUS GAS – RARE DIAGNOSTIC SIGN OF ABDOMINAL COMPARTMENT-SYNDROME

2018 ◽  
Vol 7 (2) ◽  
pp. 146-151
Author(s):  
A V. Ivanova ◽  
D. L. Shukevich ◽  
A. S. Radivilko ◽  
E. V. Grigoryev
Keyword(s):  
Intensive Care Unit ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Ultrasound Examination ◽  
Abdominal Cavity ◽  
Orthotopic Heart Transplant ◽  
Risk Of Death ◽  
Portal Venous Gas ◽  
Diagnostic Criterion ◽  
Abdominal Compartment

Portal venous gas in adults is associated with the development of abdominal compartment syndrome and can be used as a probable ultrasound diagnostic criterion. The case presents a patient aged 46 years after orthotopic heart transplant who developer abdominal syndrome in the intensive care unit postoperatively. Portal venous gas was a random finding during routine abdominal cavity ultrasound examination. Portal venous gas is a prognostically unfavorable sign. The early diagnosis can reduce the associated risk of death. Routine use of bedside ultrasound allows timely and accurately determining the presence of portal venous gas.

Sistematização da assistência de enfermagem ao cliente com síndrome do compartimento abdominal: revisão integrativa

2009 ◽  
Vol 3 (4) ◽  
pp. 1151
Author(s):  
Rodrigo Soares Sampaio ◽  
Mara Lúcia Amantéa ◽  
Iraci Dos Santos ◽  
Alessandra Sant'Anna Nunes
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Abdominal Cavity ◽  
Signs And Symptoms ◽  
Nursing Intervention ◽  
Cochrane Library ◽  
National Journal ◽  
Nursing Outcomes ◽  
Reduction Of Mortality ◽  
Abdominal Compartment

Objetives: to raise in the literature the main human responses in the abdominal compartment syndrome and building a plan of nursing care using the NANDA International Diagnosis Classification, and the Nursing Interventions Classification and the Nursing Outcomes Classification. Methods: it’s an integrative review, descriptive, with analysis publications available in the databases LILACS, MEDLINE, Cochrane Library, SciELO and BDENF held from April to June 2008. Were included full article, published in Portuguese, English or Spanish, in national journal, regardless of the period of realization, whose description has shown potential for identification of human responses in the syndrome, was selected seven articles from these criteria. Results: were raised 17 human responses, which subsidized the construction of a plan of care with six diagnoses, one result and a nursing intervention with two activities for each. Conclusion: in an environment full of tension and challenges, where the critical patient requires attention and actions of emergency care, the systematized care provide the nurse of effective tools to identify the signs and symptoms arising from the abdominal compartment syndrome, promoting the reduction of mortality rates related to this complication. Descriptors: nursing process; intensive care; syndrome; abdominal cavity.

scholarly journals Prediction of kidney damage in the syndrome of intra-abdominal hypertension

2018 ◽  
Vol 22 (4) ◽  
pp. 669-673
Author(s):  
A.I. Suchodolia ◽  
K.Yu. Krenov ◽  
I.V. Loboda ◽  
V.M. Monastyrskiy
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Perfusion Pressure ◽  
Blood Pressure Measurement ◽  
Abdominal Cavity ◽  
Multiple Organ ◽  
Intraabdominal Pressure ◽  
Abdominal Pressure ◽  
Abdominal Hypertension ◽  
Abdominal Compartment

The syndrome of intra-abdominal hypertension and abdominal compartment syndrome can complicate the course of many surgical abdominal diseases and lead to the development and progression of multiple organ failure. In particular, impaired renal blood flow is an early and significant pathogenetic link of thanatogenesis in such patients. Mortality at an abdominal compartment syndrome reaches very significant figures — 42–68% and without treatment approaches 100%. The purpose of the work is to predict renal failure in patients with intra-abdominal hypertension syndrome and abdominal compartment syndrome. A survey of 40 patients with acute surgical abdominal pathology and signs of intra-abdominal hypertension was performed. Blood pressure measurement was performed according to the recommendations of the conciliation commission on the problem of intra-abdominal hypertension syndrome (SIGA) from 2004. Also, the calculation of perfusion pressure of the abdominal cavity was performed, which is the difference between mean arterial pressure and intraabdominal pressure. The level of perfusion pressure is less than 60 mm Hg. Art. correlates with survival of patients. Determination of cystatin C was performed in the first 48 hours after hospitalization of patients in VAIT. The calculation of the results was carried out according to the standard t-criterion calculation formulas in the Exel tables. It was found that of 40 patients died — 13, and survived — 27. The reliable difference between the indicators of intra-abdominal pressure in surviving and deceased patients was acquired only at the end of the third day of observation, whereas the abdominal perfusion pressure indices significantly differed already in the first day. In the analysis of cytatine C in surviving patients, the biomarker values were 1,299±0.827, whereas in those who died 1,882±0.828, the statistical deviation was significant at p≤0.05. Thus: the cytosine C score, in combination with the dynamics of abdominal perfusion tick, can be considered as a marker that may predict the development of renal insufficiency in patients with SIGA-AKS.

scholarly journals Pressure Distribution during Negative Pressure Wound Therapy of Experimental Abdominal Compartment Syndrome in a Porcine Model

2018 ◽  
Author(s):  
Adrienn Csiszkó ◽  
Klaudia Balog ◽  
Zoltán Attila Godó ◽  
Gyula Juhász ◽  
Katalin Pető ◽  
...  
Keyword(s):  
Pressure Distribution ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Porcine Model ◽  
Abdominal Cavity ◽  
Absolute Pressure ◽  
Wound Therapy ◽  
Abdominal Compartment

1) Introduction: Negative pressure wound therapy (NPWT) is a frequently applied open abdomen (OA) treatment. There are only a few experimental data supporting this method and describing the optimal settings and pressure distribution in the abdominal cavity during this procedure. The aim of our study was to evaluate pressure values at different points of the abdominal cavity during NPWT in experimental abdominal compartment syndrome (ACS) animal model. 2) Methods: In this study (permission Nr. 13/2014/UDCAR) 27 Hungahib pigs (15.4- 20.2 kg) were operated. ACS was generated by implanting a plastic bag in the abdomen through mini-laparotomy and filled with 2100- 3300 ml saline solution (37 C°) to an intraabdominal pressure (IAP) of 30 mmHg. After 3 hours, NPWT (Vivano Med ® Abdominal Kit, Paul Hartmann AG, Germany) or Bogota bag was applied. NPWT group was divided into -50, -100 and 150 mmHg suction group. Pressure distribution to the abdominal cavity was monitored at 6 different points of the abdomen via a multichannel pressure monitoring system. 3) Results: The absolute pressure levels were significantly higher above than below the layer. The values of the pressure were similar in the midline than laterally. Amongst the bowels, the pressure values changed periodically between 0 and -12 mmHg which might be caused by the peristaltic movements. 4) Conclusions: The porcine model of the present study seems to be well applicable for investigating ACS and NPWT. It was possible to provide valuable for clinicians. The pressure was well distributed by the protective layer to the lateral parts of the abdomen and this phenomenon did not change considerably during the therapy.

scholarly journals Abdominal compartment syndrome caused by gastric distension in bulimia nervosa and fatal injury following surgical decompression - A case report -

2020 ◽  
Vol 15 (2) ◽  
pp. 251-258
Author(s):  
Byeong hun Eom ◽  
Hyun Kyoung Lim ◽  
Nayoung Tae ◽  
Helen Ki Shinn
Keyword(s):  
Bulimia Nervosa ◽  
Reperfusion Injury ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Color Change ◽  
Ischemia Reperfusion ◽  
Abdominal Cavity ◽  
Surgical Decompression ◽  
Gastric Distension ◽  
Abdominal Compartment

Background: Abdominal compartment syndrome (ACS) occurs due to increased abdominal cavity pressure, causes multiple organ damage, and leads to fatal consequences. Increased intraperitoneal pressure due to different reasons generally does not result in serious damage, due to the compliance of the abdominal wall. However, when the pressure exceeds the limit, ACS develops, thereby causing fatal damage to the organs. Case: A patient presented with rapid stomach swelling due to excessive food intake and was known to have bulimia nervosa, which had now resulted in ACS. Mental changes, abdominal distension, color change in the legs, acute kidney injury, and acidosis were seen. The patient expired due to ischemia-reperfusion injury and disseminated intravascular coagulation, which occurred after surgical decompression.Conclusions: Under suspected ACS conditions, we should be aware of various symptoms that can occur. Early attempts for decompression are helpful, and it is important to be prepared for reperfusion injury prior to surgical decompression attempts.

scholarly journals Intraabdominalinė hipertenzija ir pilvo suspaudimo sindromas: diagnostika, įtaka organų veiklai ir gydymas

2014 ◽  
Vol 13 (1) ◽  
pp. 7-18
Author(s):  
Mindaugas Šerpytis ◽  
Jurij Šabliauskas ◽  
Nadežda Ščupakova ◽  
Jūratė Šipylaitė ◽  
Kęstutis Strupas
Keyword(s):  
Compartment Syndrome ◽  
Organ Dysfunction ◽  
Abdominal Compartment Syndrome ◽  
Multiple Organ Dysfunction Syndrome ◽  
Multiple Organ ◽  
Abdominal Pressure ◽  
Multiple Organ Dysfunction ◽  
Organ Systems ◽  
Abdominal Hypertension ◽  
Abdominal Compartment

Dauginis organų nepakankamumo sindromas yra viena iš pagrindinių reanimacijos ir intensyviosios terapijos skyrių ligonių mirties priežasčių. Didėjant pažeistų organų sistemų skaičiui didėja ir mirštamumas. Nors pasiekta didelė pažanga gydant dauginį organų nepakankamumo sindromą (šiuolaikiniai dirbtinės plaučių ventiliacijos režimai, inkstų, kepenų pakaitinės terapijos metodai, ekstrakorporinė membraninė oksigenacija ir kiti gydymo būdai), tačiau ligonių, turinčių daugiau nei keturių organų nepakankamumą, mirštamumas viršija 70 % Todėl tikslinga daugiau dėmesio skirti organų nepakankamumo prevencijai ir ankstyvam kritinės būklės atpažinimui. Žalingas padidėjusio intraabdominalinio spaudimo poveikis visoms organų sistemoms yra įrodytas tiek eksperimentiniais tyrimais su gyvūnais, tiek klinikiniais tyrimais. Intraabdominalinė hipertenzija atlieka svarbų vaidmenį dauginio organų disfunkcijos sindromo patogenezėje, todėl intaabdominalinio spaudimo matavimas tapo rutininiu sunkios būklės ligonių stebėsenos rodikliu. Šioje apžvalgoje, remiantis naujausios literatūros duomenimis, apibendrinami intraabdominalinės hipertenzijos ir pilvo suspaudimo sindromo apibrėžimai, etiologija ir rizikos veiksniai, taip pat įvairūs intraabdominalinio spaudimo matavimo metodai, aptariamas intraabdominalinės hipertenzijos poveikis organų funkcijoms ir šiuolaikinės jos gydymo tendencijos.Reikšminiai žodžiai: intraabdominalinė hipertenzija, intraabdominalinis spaudimas, pilvo suspaudimo sindromas, dauginis organų disfunkcijos sindromas, dekompresinė laparotomija.Intra-abdominal hypertension and the abdominal compartment syndrome: diagnostics, effects on organ function and management The multiple organ dysfunction syndrome is one of the main causes of death in intensive care units. The more organ systems are injured the higher are mortality rates. Although there has been a significant progress in treating the multiple organ dysfunction syndrome (modern modes of mechanical lung ventilation, kidney, liver replacement therapy, extracorporeal membrane oxygenation and other techniques), the mortality rate in patients with more than four organ failures exceeds 70%. Therefore, it is reasonable to pay more attention to the prevention and early recognition of a critical illness. When the measurement of intra-abdominal pressure gradually became available in day-to-day practice, an increasing number of experimental animal testing and clinical trials have proved detrimental effects of the elevated intra-abdominal pressure on all organ systems and its role in the pathogenesis of the multiple organ dysfunction syndrome. In this review, we summarize the current literature data concerning the definitions, etiology and risk factors of intra-abdominal hypertension and the abdominal compartment syndrome as well as different techniques to measure the intra-abdominal pressure. We also discuss the pathophysiological implications of intra-abdominal hypertension on organ function and current treatment trends.Key words: intra-abdominal hypertension, intra-abdominal pressure, abdominal compartment syndrome, multiple organ dysfunction syndrome, decompressive laparotomy

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