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
Jazyk: angličtina
Rok vydání: 2021
Předmět:
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