Acute Abdominal Compartment Syndrome complicating a chronic mesenteric ischemia revascularization
Autor: | Taha Abu-Al-Tayef, Soumia El Arabi, Rajae Ben Chaib, Adnane Benzirar, Omar El Mahi, Sara Mokhtari |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Resuscitation Abdominal compartment syndrome medicine.medical_treatment Case Report Disease Revascularization Open surgery 03 medical and health sciences Abdominal decompression 0302 clinical medicine Medicine Post-revascularization complications ACS Abdominal Compartment Syndrome Pathological Chronic mesenteric ischemia business.industry SMA superior mesenteric artery CRP C-reactive proteins CA celiac artery medicine.disease Surgery medicine.anatomical_structure WSACS World Society of Abdominal Compartment Syndrome 030220 oncology & carcinogenesis IAP intra-abdominal pressure IAH intra-abdominal hypertension CMI chronic mesenteric ischemia Abdomen 030211 gastroenterology & hepatology Presentation (obstetrics) business |
Zdroj: | International Journal of Surgery Case Reports |
ISSN: | 2210-2612 |
Popis: | Highlights • From: The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration, Ann. Surg. 199 (1984) 28–30. • Many risk factors of Abdominal Compartment Syndrome have been reported. • Guidelines treating the disease have been published from different perspectives including diagnosis, measurement and management. • From: Updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med. 2013; 39 (7): 1190–1206. • There are 2 therapeutic options: surgical and non-surgical. • From: The polycompartment syndrome: a concise state-of-the-art review. Anaesthesiol Intensive Ther. 2014; 46 (5): 433–50. • During Abdominal Compartment Syndrome, multiple organ dysfunctions may be revealed leading to a polycompartment syndrome. Background Abdominal Compartment Syndrome (ACS) is a pathological condition that results from an increase in pressure within the abdomen associated with organ failure. It can be acute or chronic, primary or secondary. ACS poses a serious diagnostic challenge for physicians as the clinical presentation is varied and can mimic other medical pathologies. To prevent a multi-organ failure and ultimately death due to this disease, the World Society of Abdominal Compartment Syndrome (WSACS) suggested clinical criteria and biology tests to facilitate an early diagnosis of acute ACS. Case presentation We report a case of 61 year-old man diagnosed with chronic mesenteric ischemia that has been successfully treated by prosthetic bypass. The postoperative period was eventual, the patient presented complications corresponding essentially to a manifest acute ACS. The treatment consisted on abdominal decompression and resuscitation measures. Conclusions An early diagnosis of ACS disease for an appropriate therapeutic initiation is mandatory to prevent its complications and save the patient's life prognosis. |
Databáze: | OpenAIRE |
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