Suspected abdominal compartment syndrome during endoscopic diskectomy: A case report.
10.17085/apm.2018.13.3.319
- Author:
Jihyoung PARK
1
;
Hyun Kyo LIM
;
June Ho CHOI
;
Woo Jin CHOI
;
Jaemoon LEE
;
Kwang Ho LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. khlee6006@yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Abdominal compartment syndrome;
Diskectomy;
Endoscopy
- MeSH:
Blood Pressure;
Cyanosis;
Diskectomy*;
Endoscopy;
Intra-Abdominal Hypertension*;
Lower Body Negative Pressure;
Lower Extremity;
Retroperitoneal Space;
Thoracentesis;
Thorax;
Tidal Volume;
Ultrasonics
- From:Anesthesia and Pain Medicine
2018;13(3):319-322
- CountryRepublic of Korea
- Language:English
-
Abstract:
Abdominal compartment syndrome can produce a critical situation if not diagnosed early and managed properly. We report a case of abdominal compartment syndrome that was caused by massive irrigation of surgical fluid during endoscopic lumbar diskectomy at the L4–L5 level. There was a sudden increase in peak inspiratory pressure during the operation, and the patient's tidal volume and blood pressure decreased. When the patient's position was changed from prone to supine, abdominal distension and cyanosis of both lower extremities were discovered. Ultrasonic findings showed fluid collection in both the chest and intra-abdominal cavity. Thoracentesis and abdominal decompression surgery were performed, and the patient's overall state improved. We concluded that irrigation fluid used during the endoscopic operation leaked into the retroperitoneal space and caused abdominal compartment syndrome.
