Open AccessSuccessful surgical treatment of abdominal compartment syndrome in patient with pancreatic necrosis
Author(s) -
S. G. Shapovaliyants,
А. Г. Паньков,
A. I. Mikhalev,
T. I. Gerasimov
Publication year - 2018
Publication title -
annaly hirurgičeskoj gepatologii
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.138
H-Index - 1
eISSN - 2408-9524
pISSN - 1995-5464
DOI - 10.16931/1995-5464.20182119-124
Subject(s) - abdominal compartment syndrome , medicine , surgery , fasciotomy , dissection (medical) , laparotomy , peritoneum , abdomen , compartment (ship) , oceanography , adverse effect , geology
Case report of patient with severe autonomous advanced pancreatic necrosis followed by compartment syndrome is presented. Augmentation of intra-abdominal pressure from 18 to 30 mm Hgwas accompanied by aggravation of respiratory, renal and intestinal insufficiency. Urgent video-assisted fasciotomy was applied with dissection of linea alba while peritoneum was preserved. Postoperative period was characterized by reduced intra-abdominal pressure followed by its normalization after 24 hours. Favorable clinical effect was achieved. Subsequent medication was able to avoid surgery and minimally invasive procedures. Patient was discharged after 28 days.