| TITLE: | Abdominal compartment syndrome. | ||||||
|---|---|---|---|---|---|---|---|
| AUTHORS: | Watson RA; Howdieshell TR | ||||||
| AUTHOR AFFILIATION: | Department of Surgery, Medical College of Georgia, and the Veterans Administration Medical Center, Augusta, USA. | ||||||
| SOURCE: | South Med J 1998 Apr;91(4):326-32 | ||||||
| CITATION IDS: | PMID: 9563421 UI: 98222885 | ||||||
| ABSTRACT: | BACKGROUND: The abdominal compartment syndrome (ACS) is a newly appreciated and potentially fatal consequence of increased intra-abdominal pressure. It can be due to either trauma or surgery, as well as numerous medical conditions. Prolonged, unrelieved elevation of intra-abdominal pressure can produce pulmonary compromise, renal impairment, cardiac failure, shock, and death. A high index of suspicion is imperative. Measurement of the intravesical pressure provides a urometric window for detecting and monitoring this condition. CONCLUSIONS: Reopening the abdominal incision (decompressive celiotomy) has proven a life-saving intervention. Use of delayed wound closure (staged celiotomy) may prevent development of this condition in high-risk surgical patients. It is urgent that all physicians, and surgeons in particular, be alerted to this potentially lethal complication. | ||||||
| MAIN MESH HEADINGS: |
*Abdomen Compartment Syndromes/*complications Compartment Syndromes/*therapy | ||||||
| ADDITIONAL MESH HEADINGS: |
Compartment Syndromes/diagnosis Fluid Therapy Human 1998/05 1998/01 02:02 | ||||||
| PUBLICATION TYPES: |
JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL | ||||||
| LANGUAGES: | Eng | ||||||