Abdominal Compartment Syndrome after Cesarean Section: A Case Report
Background: Abdominal compartment syndrome (ACS) after cesarean section (CS) is a rare event which is associated with an increased risk of morbidity and mortality. This complication may arise as a result of musculoskeletal trauma and fluid accumulation. The present report aimed to introduce a case o...
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2020-10-01
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| Series: | Journal of Midwifery & Reproductive Health |
| Subjects: | |
| Online Access: | http://jmrh.mums.ac.ir/article_16189_48901752f0dbb00b6afa31e8dae1e902.pdf |
| _version_ | 1819030823241777152 |
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| author | Nazanin Beheshtian Samaneh Akbarzadeh Bita Zargaran Helena Azimi Amir Hossain Jafarian Zohreh Yousefi Akram Khalaati |
| author_facet | Nazanin Beheshtian Samaneh Akbarzadeh Bita Zargaran Helena Azimi Amir Hossain Jafarian Zohreh Yousefi Akram Khalaati |
| author_sort | Nazanin Beheshtian |
| collection | DOAJ |
| description | Background: Abdominal compartment syndrome (ACS) after cesarean section (CS) is a rare event which is associated with an increased risk of morbidity and mortality. This complication may arise as a result of musculoskeletal trauma and fluid accumulation. The present report aimed to introduce a case of ACS after the cesarean section. Case report: We present the case of a 32-year old woman who developed abdominal compartment syndrome 4 days after the cesarean section. The patient's symptoms included severe abdominal distension, fever, decreased haemoglobin level despite normal blood pressure, and decreased urine output. Nasogastric/colonic decompression was not effective. Computed tomography (CT) scan demonstrated partial bowel obstruction. After an emergency decompressive laparotomy due to increased intra-abdominal pressure, the patient was diagnosed with ACS and rescued by supportive conservative treatment. Conclusion: ACS is a rare complication of CS; nonetheless, delayed diagnosis and intervention can cause irreversible damages. The physicians and midwives should be cautious about post caesarean signs and symptoms, including massive abdominal distention, pain, fever, difficulty breathing, and decreased urine output. Conservative therapeutic strategy and decompressive laparotomy is the gold standard treatment for this disease. |
| first_indexed | 2024-12-21T06:36:16Z |
| format | Article |
| id | doaj.art-aefdf7da369849dd8a84f7caca4a9240 |
| institution | Directory Open Access Journal |
| issn | 2345-4792 2345-4792 |
| language | English |
| last_indexed | 2024-12-21T06:36:16Z |
| publishDate | 2020-10-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Journal of Midwifery & Reproductive Health |
| spelling | doaj.art-aefdf7da369849dd8a84f7caca4a92402022-12-21T19:12:51ZengMashhad University of Medical SciencesJournal of Midwifery & Reproductive Health2345-47922345-47922020-10-01842512251710.22038/jmrh.2020.39012.144016189Abdominal Compartment Syndrome after Cesarean Section: A Case ReportNazanin Beheshtian0Samaneh Akbarzadeh1Bita Zargaran2Helena Azimi3Amir Hossain Jafarian4Zohreh Yousefi5Akram Khalaati6Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranProfessor, Department of Obstetrics and Gynecology, Fellowship of Gynecologic Oncology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranGeneral practitioner, Faculty of Medicine, Islamic Azad University, Mashhad Branch, Mashhad, IranResident in Gynecologic Oncology Fellowship, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranAssociate professor, Department of Pathology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranProfessor, Department of Obstetrics and Gynecology, Fellowship of Gynecologic Oncology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranGraduated, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranBackground: Abdominal compartment syndrome (ACS) after cesarean section (CS) is a rare event which is associated with an increased risk of morbidity and mortality. This complication may arise as a result of musculoskeletal trauma and fluid accumulation. The present report aimed to introduce a case of ACS after the cesarean section. Case report: We present the case of a 32-year old woman who developed abdominal compartment syndrome 4 days after the cesarean section. The patient's symptoms included severe abdominal distension, fever, decreased haemoglobin level despite normal blood pressure, and decreased urine output. Nasogastric/colonic decompression was not effective. Computed tomography (CT) scan demonstrated partial bowel obstruction. After an emergency decompressive laparotomy due to increased intra-abdominal pressure, the patient was diagnosed with ACS and rescued by supportive conservative treatment. Conclusion: ACS is a rare complication of CS; nonetheless, delayed diagnosis and intervention can cause irreversible damages. The physicians and midwives should be cautious about post caesarean signs and symptoms, including massive abdominal distention, pain, fever, difficulty breathing, and decreased urine output. Conservative therapeutic strategy and decompressive laparotomy is the gold standard treatment for this disease.http://jmrh.mums.ac.ir/article_16189_48901752f0dbb00b6afa31e8dae1e902.pdfabdominal compartment syndromecaesarean sectionintra-abdominal pressure |
| spellingShingle | Nazanin Beheshtian Samaneh Akbarzadeh Bita Zargaran Helena Azimi Amir Hossain Jafarian Zohreh Yousefi Akram Khalaati Abdominal Compartment Syndrome after Cesarean Section: A Case Report Journal of Midwifery & Reproductive Health abdominal compartment syndrome caesarean section intra-abdominal pressure |
| title | Abdominal Compartment Syndrome after Cesarean Section: A Case Report |
| title_full | Abdominal Compartment Syndrome after Cesarean Section: A Case Report |
| title_fullStr | Abdominal Compartment Syndrome after Cesarean Section: A Case Report |
| title_full_unstemmed | Abdominal Compartment Syndrome after Cesarean Section: A Case Report |
| title_short | Abdominal Compartment Syndrome after Cesarean Section: A Case Report |
| title_sort | abdominal compartment syndrome after cesarean section a case report |
| topic | abdominal compartment syndrome caesarean section intra-abdominal pressure |
| url | http://jmrh.mums.ac.ir/article_16189_48901752f0dbb00b6afa31e8dae1e902.pdf |
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