|
KMID : 0360720110240010056
|
|
Journal of the Korean Society Traumatology
2011 Volume.24 No. 1 p.56 ~ p.59
|
|
|
Case of Abdominal Compartment Syndrome Treated by using a Bedside Open Linea Alba Fasciotomy
|
|
Kim Ji-Hoon
Han Myung-Sik
Choi Gun-Moo
Jang Hyuck-Jae
Kwak Jin-Ho
|
|
|
Abstract
|
|
|
|
Abdominal compartment syndrome (ACS) is a life-threatening disorder caused by rapidly increasing intra-abdominal pressure. ACS can result in multiorgan failure and carries a mortality of 60~70%. The treatment of choice in ACS is surgical decompression. There are very few reports of ACS and experience in Korea. We report 12-year-old male patient who developed an abdominal compartment syndrome due to traffic-accident-induced retroperitoneal hematomas, Which was successfully treated by performing a bedside emergency surgical decompression with open linea alba fasciotomy with intact peritoneum. When patients do not respond to medical therapy, a decompressive laparotomy is the last surgical resort. In patients with severe abdominal compartment syndrome, the use of a linea alba fasciotomy is an effective intervention to lower intra-abdominal hypertension (IAH) without the morbidity of a laparotomy. Use of a linea alba fasciotomy as a first-line intervention before committing to full abdominal decompression in patients with abdominal compartment syndrome improves physiological variables without mortality. Consideration for a linea alba fasciotomy as a bridge before full abdominal decompression needs further evaluation in patients with polytrauma abdominal compartment syndrome.
|
|
|
KEYWORD
|
|
|
Abdominal compartment syndrome, Retroperitoneal bleeding, Surgical decompression, Linea alba fasciotomy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|