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Fatal Abdominal Compartment Syndrome Due to Constipation: A Case Report
INTRODUCTION: Abdominal compartment syndrome (ACS) is a rare condition in which increased intra-abdominal pressure causes multiorgan dysfunction through decreased perfusion. Causes of this condition are variable, and early recognition is critical for favorable patient outcomes. Measurement of bladde...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8885236/ https://www.ncbi.nlm.nih.gov/pubmed/35226838 http://dx.doi.org/10.5811/cpcem.2021.7.53295 |
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author | Kongkatong, Matthew M. Patel, Malav M. Thom, Christopher Moak, James |
author_facet | Kongkatong, Matthew M. Patel, Malav M. Thom, Christopher Moak, James |
author_sort | Kongkatong, Matthew M. |
collection | PubMed |
description | INTRODUCTION: Abdominal compartment syndrome (ACS) is a rare condition in which increased intra-abdominal pressure causes multiorgan dysfunction through decreased perfusion. Causes of this condition are variable, and early recognition is critical for favorable patient outcomes. Measurement of bladder pressure is recommended for diagnosis. CASE REPORT: A 64-year-old female on clozapine with a two-year history of chronic constipation presented to the emergency department in extremis with a protuberant abdomen. After resuscitative measures, computed tomography showed a dilated, stool-filled colon with a decompressed inferior vena cava and decreased perfusion. She died despite surgical decompression. CONCLUSION: Severe constipation is a rare cause of ACS, and there is a lack of evidence-based guidelines. Options for bedside decompression are limited. To reduce morbidity and mortality in this population, early recognition of ACS is imperative. Initial interventions should support hemodynamics and respiration. Definitive management is surgical decompression. |
format | Online Article Text |
id | pubmed-8885236 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-88852362022-03-01 Fatal Abdominal Compartment Syndrome Due to Constipation: A Case Report Kongkatong, Matthew M. Patel, Malav M. Thom, Christopher Moak, James Clin Pract Cases Emerg Med Case Report INTRODUCTION: Abdominal compartment syndrome (ACS) is a rare condition in which increased intra-abdominal pressure causes multiorgan dysfunction through decreased perfusion. Causes of this condition are variable, and early recognition is critical for favorable patient outcomes. Measurement of bladder pressure is recommended for diagnosis. CASE REPORT: A 64-year-old female on clozapine with a two-year history of chronic constipation presented to the emergency department in extremis with a protuberant abdomen. After resuscitative measures, computed tomography showed a dilated, stool-filled colon with a decompressed inferior vena cava and decreased perfusion. She died despite surgical decompression. CONCLUSION: Severe constipation is a rare cause of ACS, and there is a lack of evidence-based guidelines. Options for bedside decompression are limited. To reduce morbidity and mortality in this population, early recognition of ACS is imperative. Initial interventions should support hemodynamics and respiration. Definitive management is surgical decompression. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2022-01-04 /pmc/articles/PMC8885236/ /pubmed/35226838 http://dx.doi.org/10.5811/cpcem.2021.7.53295 Text en © 2022 Kongkatong. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | Case Report Kongkatong, Matthew M. Patel, Malav M. Thom, Christopher Moak, James Fatal Abdominal Compartment Syndrome Due to Constipation: A Case Report |
title | Fatal Abdominal Compartment Syndrome Due to Constipation: A Case
Report |
title_full | Fatal Abdominal Compartment Syndrome Due to Constipation: A Case
Report |
title_fullStr | Fatal Abdominal Compartment Syndrome Due to Constipation: A Case
Report |
title_full_unstemmed | Fatal Abdominal Compartment Syndrome Due to Constipation: A Case
Report |
title_short | Fatal Abdominal Compartment Syndrome Due to Constipation: A Case
Report |
title_sort | fatal abdominal compartment syndrome due to constipation: a case
report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8885236/ https://www.ncbi.nlm.nih.gov/pubmed/35226838 http://dx.doi.org/10.5811/cpcem.2021.7.53295 |
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