[Management of abdominal compartment syndrome after transurethral resection of the prostate].

Abstract

Acute abdominal compartment syndrome is most commonly associated with blunt abdominal trauma, although it has been seen after ruptured abdominal aortic aneurysm, liver transplantation, pancreatitis, and massive volume resuscitation. Acute abdominal compartment syndrome develops once the intra-abdominal pressure increases to 20-25mmHg and is characterized by an increase in airway pressures, inadequate ventilation and oxygenation, altered renal function, and hemodynamic instability. This case report details the development of acute abdominal compartment syndrome during transurethral resection of the prostate with extra- and intraperitoneal bladder rupture under general anesthesia. The first signs of acute abdominal compartment syndrome in this patient were high peak airway pressures and difficulty delivering tidal volumes. Management of the compartment syndrome included re-intubation, emergent exploratory laparotomy, and drainage of irrigation fluid. Difficulty with ventilation should alert the anesthesiologist to consider abdominal compartment syndrome high in the list of differential diagnoses during any endoscopic bladder or bowel case.

• Authors: Megan M Gaut, Jaime Ortiz
• Journal: Revista brasileira de anestesiologia (Rev Bras Anestesiol) 2015 Nov-Dec Vol. 65 Issue 6 Pg. 519-21 ISSN: 1806-907X [Electronic] Brazil
• Vernacular Title: Manejo da síndrome do compartimento abdominal pós-ressecção transuretral de próstata.
• PMID: 26655712 (Publication Type: English Abstract, Journal Article)
• Copyright: Copyright © 2013 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.