Successful surgical treatment of abdominal compartment syndrome in patient with pancreatic necrosis
https://doi.org/10.16931/1995-5464.20182119-124
Abstract
Case report of patient with severe autonomous advanced pancreatic necrosis followed by compartment syndrome is presented. Augmentation of intra-abdominal pressure from 18 to 30 mm Hgwas accompanied by aggravation of respiratory, renal and intestinal insufficiency. Urgent video-assisted fasciotomy was applied with dissection of linea alba while peritoneum was preserved. Postoperative period was characterized by reduced intra-abdominal pressure followed by its normalization after 24 hours. Favorable clinical effect was achieved. Subsequent medication was able to avoid surgery and minimally invasive procedures. Patient was discharged after 28 days.
About the Authors
S. G. Shapovaliyants
Pirogov Russian National Research Medical University;
City Clinical Hospital No.31 of Moscow Healthcare Department
Russian Federation
Doct. of Med. Sci., Professor, Head of the Chair of Hospital-Based Surgery No.2, Medical Faculty of Pirogov Russian National Research Medical University
Russian Federation
Doct. of Med. Sci., Professor, Head of the Chair of Hospital-Based Surgery No.2, Medical Faculty of Pirogov Russian National Research Medical University
A. G. Pankov
City Clinical Hospital No.31 of Moscow Healthcare Department
Russian Federation
Cand. of Med. Sci., Head of the Surgical Department No.2, City Clinical Hospital No.31
Russian Federation
Cand. of Med. Sci., Head of the Surgical Department No.2, City Clinical Hospital No.31
A. I. Mikhalev
Pirogov Russian National Research Medical University;
City Clinical Hospital No.31 of Moscow Healthcare Department
Russian Federation
Doct. of Med. Sci., Professor of the Chair of Hospital-Based Surgery No.2, Medical Faculty of Pirogov Russian National Research Medical University
Russian Federation
Doct. of Med. Sci., Professor of the Chair of Hospital-Based Surgery No.2, Medical Faculty of Pirogov Russian National Research Medical University
T. I. Gerasimov
City Clinical Hospital No.31 of Moscow Healthcare Department
Russian Federation
Surgeon of Surgical Department No.2, City Clinical Hospital No.31
Russian Federation
Surgeon of Surgical Department No.2, City Clinical Hospital No.31
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Review
For citations:
Shapovaliyants S.G., Pankov A.G., Mikhalev A.I., Gerasimov T.I. Successful surgical treatment of abdominal compartment syndrome in patient with pancreatic necrosis. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2018;23(2):119-124. (In Russ.) https://doi.org/10.16931/1995-5464.20182119-124
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