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J Vasc Interv Radiol. 2005 Jul;16(7):1019-21.

Management of intraabdominal hypertension by percutaneous catheter drainage.

Author information

1
Department of Surgery, Tripler Army Medical Center, MCHK-DSG, 1 Jarrett White Road, Honolulu, Hawaii 96859-5000, USA.

Abstract

The authors report a case of an 18-year-old man with T-cell acute lymphocytic leukemia who developed hemorrhagic pancreatitis after chemotherapy. He subsequently developed abdominal compartment syndrome (ACS). Computed tomography showed a large fluid-filled mass in the area of the pancreas. As a result of the instability of his condition, surgical decompression, the standard therapy for ACS, was believed to carry significant morbidity and potential mortality. The patient underwent ultrasound-guided drainage of the peripancreatic fluid, which decreased his abdominal pressures and improved his clinical status. Without this procedure, the patient may not have tolerated subsequent surgery.

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