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BMC Anesthesiology
Published in: BMC Anesthesiology 1/2014

Open Access 01-12-2014 | Case report

Acute abdominal compartment syndrome as a complication of Holmium laser enucleation of the prostate: a case report

Published in: BMC Anesthesiology | Issue 1/2014

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Abstract

Background

In 1996, Holmium laser enucleation of the prostate was introduced and has been shown to be safe and highly effective.

Case presentation

We report a case of a rare complication that resulted in intra-abdominal compartment syndrome with prolonged intubation and intensive care, involving an 74-year-old male after holmium laser enucleation of prostate, with a massive irrigant fluid leakage into the retroperitoneal space. The elevated abdominal pressure was reduced by forced diuresis. The tracheal tube was removed 18 hours after the patient’s transfer to the ICU. The patient was discharged to home one week after the operation.

Conclusion

In rare cases when no obvious ruptures of the prostate capsule or the bladder occur during laser enucleation of prostate, knowledge regarding possible emersion of massive amounts of irrigant fluid into the retroperitoneal space leading to intra-abdominal compartment syndrome aids in the diagnosis and subsequent successful therapy of intra-abdominal hypertension.
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Literature
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Elmansy HM, Kotb A, Elhilali MM: Holmium laser enucleation of the prostate: long-term durability of clinical outcomes and complication rates during 10 years of followup. J Urol. 2011, 186 (5): 1972-1976. 10.1016/j.juro.2011.06.065.CrossRefPubMed
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Shah HN, Mahajan AP, Hegde SS, Bansal MB: Peri-operative complications of holmium laser enucleation of the prostate: experience in the first 280 patients, and a review of literature. BJU Int. 2007, 100 (1): 94-101. 10.1111/j.1464-410X.2007.06867.x.CrossRefPubMed
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Hurle R, Vavassori I, Piccinelli A, Manzetti A, Valenti S, Vismara A: Holmium laser enucleation of the prostate combined with mechanical morcellation in 155 patients with benign prostatic hyperplasia. Urology. 2002, 60 (3): 449-453. 10.1016/S0090-4295(02)01812-5.CrossRefPubMed
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Metadata
Title
Acute abdominal compartment syndrome as a complication of Holmium laser enucleation of the prostate: a case report
Publication date
01-12-2014
Published in
BMC Anesthesiology / Issue 1/2014
Electronic ISSN: 1471-2253
DOI
https://doi.org/10.1186/1471-2253-14-32

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