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.

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 Relationship between Sequential Organ Failure Assessment (SOFA) and intra-abdominal pressure in intensive care unit

2014 ◽  
Vol 27 (4) ◽  
pp. 256-260 ◽  
Author(s):  
Gustavo Rocha Costa de FREITAS ◽  
Olival Cirilo Lucena da FONSECA-NETO ◽  
Carla Larissa Fernandes PINHEIRO ◽  
Luiz Clêiner ARAÚJO ◽  
Roberto Esmeraldo Nogueira BARBOSA ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Sequential Organ Failure Assessment ◽  
Compartment Syndrome ◽  
Organ Failure ◽  
Abdominal Compartment Syndrome ◽  
Abdominal Pressure ◽  
Abdominal Hypertension ◽  
Failure Assessment ◽  
Abdominal Compartment

BACKGROUND: Patients in the intensive care unit are at risk of developing intra-abdominal hypertension and abdominal compartment syndrome. AIM: To describe the relation between Sequential Organ Failure Assessment (SOFA) vs. intra-abdominal pressure and the relation between SOFA and risk factors for intra-abdominal hypertension. METHOD: In accordance with the recommendations of the World Society of the Abdominal Compartment Syndrome, the present study measured the intra-abdominal pressure of patients 24 h and 48 h after admission to the unit and calculated the SOFA after 24 h and 48 h. Data was collected over two-month period. RESULTS: No correlation was found between SOFA and intra-abdominal pressure. Seventy percent of the patients were men and the mean age was 44 years, 10% had been referred from general surgery (with a mean intra-abdominal pressure of 11) and 65% from neurosurgery (with a mean intra-abdominal of 6.7). Only three (7.5%) presented with intra-abdominal hypertension. The highest SOFA was 15 and the most frequent kind of organ failure was neurological, with a frequency of 77%. There was a strong correlation between the SOFA after 24 h and 48 h and peak respiratory pressure (ρ=0.43/p=0.01; ρ=0.39/p=0.02). CONCLUSION: No correlation was found between SOFA and intra-abdominal pressure in the patients covered by the present study. However, it is possible in patients undergoing abdominal surgery or those with abdominal sepsis. Não houve correlação entre o SOFA e a pressão intra-abdominal nos pacientes aqui estudados; contudo, sinalizou ser possível em pacientes com operação abdominal ou naqueles com sepse abdominal.

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.

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.

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