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World J Emerg Surg. 2008 Jan 31;3:7. doi: 10.1186/1749-7922-3-7.

Postoperative gastric dilatation causing abdominal compartment syndrome.

Author information

  • 1Department of Surgery A, Rambam Medical Center, and the Bruce Rappaport, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. m_krausz@rambam.health.gov.il.

Abstract

OBJECTIVE:

To study the effect of postoperative gastric dilatation on intra-abdominal pressure (IAP).

DESIGN AND SETTING:

Single case report from a primary teaching hospital.

PATIENTS AND METHODS:

A 72-year-old woman demonstrated a sudden respiratory and cardiovascular collapse following resection of a retroperitoneal sarcoma. This collapse was caused by abdominal compartment syndrome due to gastric dilatation.

RESULTS:

The patient was re-explored, an enormously distended stomach was found with the nasogastric tube situated in a small sliding hernia which prevented drainage of the distended stomach. Re-positioning of the nasogastric tube, allowed the decompression of the stomach and the patient's condition immediately improved.

CONCLUSION:

Acute abdominal distention following major abdominal surgery may result from acute gastric dilatation, leading to oliguria and increased airway pressures. Untreated gastric dilatation can cause abdominal compartment syndrome.

PMID:
18237393
[PubMed]
PMCID:
PMC2270814
Free PMC Article
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