Abdominal Compartment Syndrome in Surgical Patients
Background: The deleterious effects of intra-abdominal hypertension and abdominal compartment syndrome, affect almost every system. Patients at risk are critically ill, in whom it leads to altered organ perfusion and end-organ dysfunction/failure. The five cases reported highlight the diagnostic and...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Surgical Society of Kenya
2017-01-01
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| Series: | The Annals of African Surgery |
| Subjects: | |
| Online Access: | https://www.annalsofafricansurgery.com/abdominal-compartment-syndrome-in-s |
| _version_ | 1819087872127401984 |
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| author | Alex Muturi Daniel Ojuka Andrew Kibet |
| author_facet | Alex Muturi Daniel Ojuka Andrew Kibet |
| author_sort | Alex Muturi |
| collection | DOAJ |
| description | Background: The deleterious effects of intra-abdominal hypertension and abdominal compartment syndrome, affect almost every system. Patients at risk are critically ill, in whom it leads to altered organ perfusion and end-organ dysfunction/failure. The five cases reported highlight the diagnostic and management challenges. Case Presentation: Five patients with variable degrees of multiple organ dysfunction/failure as evidenced by derangements in laboratory and clinical parameters are presented. Non-surgical interventions including insertion or repositioning of a nasogastric tube, insertion of flatus tube, careful titration of IV fluid requirements and appropriate adjustments of ventilator setting were instituted. All five did not respond to initial management and decompressive laparotomy or re-opening of the abdomen was planned.
Conclusion: Abdominal compartment syndrome can be prevented by regular measurement of intra-abdominal pressure in patients at risk. Non-surgical means should precede decompressive laparotomy but timely surgical intervention is crucial. |
| first_indexed | 2024-12-21T21:43:02Z |
| format | Article |
| id | doaj.art-b217795391b54124a69a01ab4603fc8c |
| institution | Directory Open Access Journal |
| issn | 1999-9674 2523-0816 |
| language | English |
| last_indexed | 2024-12-21T21:43:02Z |
| publishDate | 2017-01-01 |
| publisher | Surgical Society of Kenya |
| record_format | Article |
| series | The Annals of African Surgery |
| spelling | doaj.art-b217795391b54124a69a01ab4603fc8c2022-12-21T18:49:19ZengSurgical Society of KenyaThe Annals of African Surgery1999-96742523-08162017-01-011414852Abdominal Compartment Syndrome in Surgical PatientsAlex Muturi0Daniel Ojuka1Andrew Kibet2University of NairobiUniversity of NairobiKenyatta National Hospital, NairobiBackground: The deleterious effects of intra-abdominal hypertension and abdominal compartment syndrome, affect almost every system. Patients at risk are critically ill, in whom it leads to altered organ perfusion and end-organ dysfunction/failure. The five cases reported highlight the diagnostic and management challenges. Case Presentation: Five patients with variable degrees of multiple organ dysfunction/failure as evidenced by derangements in laboratory and clinical parameters are presented. Non-surgical interventions including insertion or repositioning of a nasogastric tube, insertion of flatus tube, careful titration of IV fluid requirements and appropriate adjustments of ventilator setting were instituted. All five did not respond to initial management and decompressive laparotomy or re-opening of the abdomen was planned. Conclusion: Abdominal compartment syndrome can be prevented by regular measurement of intra-abdominal pressure in patients at risk. Non-surgical means should precede decompressive laparotomy but timely surgical intervention is crucial.https://www.annalsofafricansurgery.com/abdominal-compartment-syndrome-in-scase seriesintra-abdominal pressureintra-abdominal hypertensionabdominal compartment syndrome. |
| spellingShingle | Alex Muturi Daniel Ojuka Andrew Kibet Abdominal Compartment Syndrome in Surgical Patients The Annals of African Surgery case series intra-abdominal pressure intra-abdominal hypertension abdominal compartment syndrome. |
| title | Abdominal Compartment Syndrome in Surgical Patients |
| title_full | Abdominal Compartment Syndrome in Surgical Patients |
| title_fullStr | Abdominal Compartment Syndrome in Surgical Patients |
| title_full_unstemmed | Abdominal Compartment Syndrome in Surgical Patients |
| title_short | Abdominal Compartment Syndrome in Surgical Patients |
| title_sort | abdominal compartment syndrome in surgical patients |
| topic | case series intra-abdominal pressure intra-abdominal hypertension abdominal compartment syndrome. |
| url | https://www.annalsofafricansurgery.com/abdominal-compartment-syndrome-in-s |
| work_keys_str_mv | AT alexmuturi abdominalcompartmentsyndromeinsurgicalpatients AT danielojuka abdominalcompartmentsyndromeinsurgicalpatients AT andrewkibet abdominalcompartmentsyndromeinsurgicalpatients |