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Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are very frequent findings in patients with severe acute pancreatitis. The causing factors are the retroperitoneal inflammation, paralytic ileus, ascites and the serious visceral edema due to massive fluid resuscitation, which leads to increased intra-abdominal pressure (IAP), early organ disfunction with IAH and finally ACS. Several publications conclude that this clinical entity can appear in high-risk surgical patients (severe acute pancreatitis) within the first 12 hours of the admission to intensive care unit. In these cases the mortality rate is extremely high. That is why we have to pay attention to make the correct and early diagnosis, treatment and follow-up of the severe acute pancreatitis (1-2).

Intra-Abdominal Hypertension and Abdominal Compartment Syndrome in Critically Ill Surgical Patients (Special Findings in Severe Acute Pancreatitis)