Clinical Endoscopy  2014;47(5):469-472

doi:10.5946/ce.2014.47.5.469

Abdominal Compartment Syndrome in Severe Acute Pancreatitis Treated with Percutaneous Catheter Drainage.

Soonyoung PARK 1 ; Seungho LEE ; Hyo Deok LEE ; Min KIM ; Kyeongmin KIM ; Yusook JEONG ; Seon Mee PARK

Affiliations

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Keywords

Severe acute pancreatitis; Intra-abdominal hypertension; Percutaneous catheter drainage

Country

Republic of Korea

Language

English

Abstract

Acute pancreatitis is one of the main causes of intra-abdominal hypertension (IAH). IAH contributes to multiple physiologic alterations and leads to the development of abdominal compartment syndrome (ACS) that induces multiorgan failure. We report a case of ACS in a patient with severe acute pancreatitis. A 44-year-old man who was admitted in a drunk state was found to have severe acute pancreatitis. During management with fluid resuscitation in an intensive care unit, drowsy mentality, respiratory acidosis, shock requiring inotropes, and oliguria developed in the patient, with his abdomen tensely distended. With a presumptive diagnosis of ACS, abdominal decompression through percutaneous catheter drainage was performed immediately. The intraperitoneal pressure measured with a drainage catheter was 31 mm Hg. After abdominal decompression, the multiorgan failure was reversed. We present a case of ACS managed with percutaneous catheter decompression.