Secondary Abdominal Compartment Syndrome Recognized in Operating Room in Severely Injured Patients
10.4266/kjccm.2016.31.1.58
- Author:
Seok Hwa YOUN
1
;
John Cook Jong LEE
;
Kyoungwon JUNG
;
Jonghwan MOON
;
Yo HUH
;
Younghwan KIM
Author Information
1. Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea. galgunbam2@daum.net
- Publication Type:Case Report
- Keywords:
abdominal compartment syndrome;
shock;
trauma
- MeSH:
Abdomen;
Ascites;
Brain Edema;
Edema;
Emergency Service, Hospital;
Female;
Humans;
Intra-Abdominal Hypertension;
Laparotomy;
Leg;
Male;
Operating Rooms;
Resuscitation;
Shock;
Young Adult
- From:The Korean Journal of Critical Care Medicine
2016;31(1):58-62
- CountryRepublic of Korea
- Language:English
-
Abstract:
For trauma patients with severe shock, massive fluid resuscitation is necessary. However, shock and a large amount of fluid can cause bowel and retroperitoneal edema, which sometimes leads to abdominal compartment syndrome in patients without abdomino-pelvic injury. If other emergent operations except intraabdomen are needed, a distended abdomen is likely to be recognized late, leading to multiple organ dysfunction. Herein, we report two cases of a 23-year-old woman who was in a car accident and a 53-year old man who was pressed on his leg by a pressing machine; severe brain swelling and popliteal vessel injury were diagnosed, respectively. They were both in severe shock and massive fluid resuscitation was required in the emergency department. Distended abdomen was recognized in both the female and male patients immediately after neurosurgical operation and immediately before orthopaedic operation in the operating room, respectively. Decompressive laparotomy revealed massive ascites with retroperitoneal edema.
