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KMID : 1155520180130030319
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Anesthesia and Pain Medicine
2018 Volume.13 No. 3 p.319 ~ p.322
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Suspected abdominal compartment syndrome during endoscopic diskectomy - A case report -
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Park Ji-Hyoung
Lim Hyun-Kyo
Choi June-Ho
Choi Woo-Jin
Lee Jae-Moon
Lee Kwang-Ho
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Abstract
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Abdominal compartment syndrome can produce a critical situation if not diagnosed early and managed properly. We report a case of abdominal compartment syndrome that was caused by massive irrigation of surgical fluid during endoscopic lumbar diskectomy at the L4?L5 level. There was a sudden increase in peak inspiratory pressure during the operation, and the patient’s tidal volume and blood pressure decreased. When the patient’s position was changed from prone to supine, abdominal distension and cyanosis of both lower extremities were discovered. Ultrasonic findings showed fluid collection in both the chest and intra-abdominal cavity. Thoracentesis and abdominal decompression surgery were performed, and the patient’s overall state improved. We concluded that irrigation fluid used during the endoscopic operation leaked into the retroperitoneal space and caused abdominal compartment syndrome.
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KEYWORD
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Abdominal compartment syndrome, Diskectomy, Endoscopy
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