Abdominal compartment syndrome – the prevention and treatment of possible lethal complications following hip arthroscopy: a case report

Journal of Medical Case Reports

Andrzej Szulc²  Tomasz Piontek¹  Kinga Ciemniewska-Gorzela¹ 

[1] Rehasport Clinic Poznan, Clinic of Pediatric Orthopedic Surgery UM in Poznan, Rehasport Clinic, ul. Górecka 30, 60-201 Poznań, Poland;Clinic of Pediatric Orthopedic Surgery UM in Poznan, Clinic of Pediatric Orthopedic Surgery, ul 28 czerwca 1956 r. 134/145, 61-495 Poznań, Poland

关键词: Hip arthroscopy;    Complication;    Abdominal compartment syndrome;   

Others  :  1180985
DOI  :  10.1186/1752-1947-8-368

 received in 2014-04-17, accepted in 2014-09-16,  发布年份 2014

【 摘 要 】

Introduction

Intra-abdominal hypertension and abdominal compartment syndrome have been increasingly recognized as a hip arthroscopy complication over the past decade. In the absence of consensus definitions and treatment guidelines, the diagnosis and management of intra-abdominal hypertension and abdominal compartment syndrome remains variable from institution to institution.

Case presentation

We report the occurrence of the extravasation of fluid into the abdomen during arthroscopic treatment of femoroacetabular impingement combined with resection of trochanteric bursa and our management of the condition in a 55-year old Caucasian woman.

Conclusions

We present an algorithm of treatment of abdominal compartment syndrome, as a hip arthroscopy complication, according to the consensus definitions and recommendations of the World Society of the Abdominal Compartment Syndrome. In the algorithm options, we have included paracentesis and percutaneous catheter decompression as the main point of treatment. Our algorithm will have a broader clinical impact on orthopedic surgery, anesthesiology and emergency medicine.

【 授权许可】

   
2014 Ciemniewska-Gorzela et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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