Abdominal compartment syndrome in a 10-year-old boy with delayed presentation of congenital aganglionic megacolon
Abdominal compartment syndrome (ACS) involves adverse physiologic consequences arising from the increased intra-abdominal pressure, leading to high mortality. However, this syndrome has been scarcely reported in pediatric emergency settings. We describe a 10-year-old boy with ACS presenting with pai...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Korean Society of Pediatric Emergency Medicine
2021-12-01
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| Series: | Pediatric Emergency Medicine Journal |
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| Online Access: | http://pemj.org/upload/pdf/pemj-2021-00332.pdf |
| _version_ | 1797852233719611392 |
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| author | Kaeun Jeong Pil-Sang Jang |
| author_facet | Kaeun Jeong Pil-Sang Jang |
| author_sort | Kaeun Jeong |
| collection | DOAJ |
| description | Abdominal compartment syndrome (ACS) involves adverse physiologic consequences arising from the increased intra-abdominal pressure, leading to high mortality. However, this syndrome has been scarcely reported in pediatric emergency settings. We describe a 10-year-old boy with ACS presenting with painful abdominal distension, oliguria, and dyspnea. Despite the absence of known congenital anomalies, he had undergone frequent episodes of constipation since 5 years of age, and had not defecated for recent 2 months. With computed tomography scans showing the entire colorectal distension, his manifestations were considered to have stemmed from congenital aganglionic megacolon, which had gone undetected. This case underlines the needs for considering ACS and consequent surgical decompression in a child with severe abdominal distension. |
| first_indexed | 2024-04-09T19:30:45Z |
| format | Article |
| id | doaj.art-333caf249962466bab86901f706938cb |
| institution | Directory Open Access Journal |
| issn | 2383-4897 2508-5506 |
| language | English |
| last_indexed | 2024-04-09T19:30:45Z |
| publishDate | 2021-12-01 |
| publisher | Korean Society of Pediatric Emergency Medicine |
| record_format | Article |
| series | Pediatric Emergency Medicine Journal |
| spelling | doaj.art-333caf249962466bab86901f706938cb2023-04-04T23:59:15ZengKorean Society of Pediatric Emergency MedicinePediatric Emergency Medicine Journal2383-48972508-55062021-12-018211211510.22470/pemj.2021.00332128Abdominal compartment syndrome in a 10-year-old boy with delayed presentation of congenital aganglionic megacolonKaeun Jeong0Pil-Sang Jang1Department of Pediatrics, College of Medicine, The Catholic University of Korea, Uijeongbu, KoreaDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Uijeongbu, KoreaAbdominal compartment syndrome (ACS) involves adverse physiologic consequences arising from the increased intra-abdominal pressure, leading to high mortality. However, this syndrome has been scarcely reported in pediatric emergency settings. We describe a 10-year-old boy with ACS presenting with painful abdominal distension, oliguria, and dyspnea. Despite the absence of known congenital anomalies, he had undergone frequent episodes of constipation since 5 years of age, and had not defecated for recent 2 months. With computed tomography scans showing the entire colorectal distension, his manifestations were considered to have stemmed from congenital aganglionic megacolon, which had gone undetected. This case underlines the needs for considering ACS and consequent surgical decompression in a child with severe abdominal distension.http://pemj.org/upload/pdf/pemj-2021-00332.pdfcompartment syndromesdecompression, surgicalhirschsprung diseaseintra-abdominal hypertensionlower body negative pressure |
| spellingShingle | Kaeun Jeong Pil-Sang Jang Abdominal compartment syndrome in a 10-year-old boy with delayed presentation of congenital aganglionic megacolon Pediatric Emergency Medicine Journal compartment syndromes decompression, surgical hirschsprung disease intra-abdominal hypertension lower body negative pressure |
| title | Abdominal compartment syndrome in a 10-year-old boy with delayed presentation of congenital aganglionic megacolon |
| title_full | Abdominal compartment syndrome in a 10-year-old boy with delayed presentation of congenital aganglionic megacolon |
| title_fullStr | Abdominal compartment syndrome in a 10-year-old boy with delayed presentation of congenital aganglionic megacolon |
| title_full_unstemmed | Abdominal compartment syndrome in a 10-year-old boy with delayed presentation of congenital aganglionic megacolon |
| title_short | Abdominal compartment syndrome in a 10-year-old boy with delayed presentation of congenital aganglionic megacolon |
| title_sort | abdominal compartment syndrome in a 10 year old boy with delayed presentation of congenital aganglionic megacolon |
| topic | compartment syndromes decompression, surgical hirschsprung disease intra-abdominal hypertension lower body negative pressure |
| url | http://pemj.org/upload/pdf/pemj-2021-00332.pdf |
| work_keys_str_mv | AT kaeunjeong abdominalcompartmentsyndromeina10yearoldboywithdelayedpresentationofcongenitalaganglionicmegacolon AT pilsangjang abdominalcompartmentsyndromeina10yearoldboywithdelayedpresentationofcongenitalaganglionicmegacolon |