Case of Abdominal Compartment Syndrome Treated by using a Bedside Open Linea Alba Fasciotomy.
- Author:
Ji Hoon T KIM
1
;
Myung Sik HAN
;
Gun Moo CHOI
;
Hyuck Jae JANG
;
Jin Ho KWAK
;
Ji Hoon S KIM
Author Information
1. Department of Surgery, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea. surgeonkjh@korea.com
- Publication Type:Case Report
- Keywords:
Abdominal compartment syndrome;
Retroperitoneal bleeding;
Surgical decompression;
Linea alba fasciotomy
- MeSH:
Child;
Decompression, Surgical;
Emergencies;
Health Resorts;
Hematoma;
Humans;
Intra-Abdominal Hypertension;
Korea;
Laparotomy;
Lower Body Negative Pressure;
Male;
Peritoneum
- From:Journal of the Korean Society of Traumatology
2011;24(1):56-59
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Abdominal compartment syndrome (ACS) is a life-threatening disorder caused by rapidly increasing intraabdominal pressure. ACS can result in multiorgan failure and carries a mortality of 60~70%. The treatment of choice in ACS is surgical decompression. There are very few reports of ACS and experience in Korea. We report 12-year-old male patient who developed an abdominal compartment syndrome due to traffic-accident-induced retroperitoneal hematomas, Which was successfully treated by performing a bedside emergency surgical decompression with open linea alba fasciotomy with intact peritoneum. When patients do not respond to medical therapy, a decompressive laparotomy is the last surgical resort. In patients with severe abdominal compartment syndrome, the use of a linea alba fasciotomy is an effective intervention to lower intra-abdominal hypertension (IAH) without the morbidity of a laparotomy. Use of a linea alba fasciotomy as a first-line intervention before committing to full abdominal decompression in patients with abdominal compartment syndrome improves physiological variables without mortality. Consideration for a linea alba fasciotomy as a bridge before full abdominal decompression needs further evaluation in patients with polytrauma abdominal compartment syndrome.
