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Open Access 01-12-2014 | Review

Successful interventional management of abdominal compartment syndrome caused by blunt liver injury with hemorrhagic diathesis

Authors: Hiroyuki Tokue, Azusa Tokue, Yoshito Tsushima

Published in: World Journal of Emergency Surgery | Issue 1/2014

Abstract

We report that a case of primary abdominal compartment syndrome (ACS), caused by blunt liver injury under the oral anticoagulation therapy, was successfully treated. Transcatheter arterial embolization (TAE) was initially selected, and the bleeding point of hepatic artery was embolized with N-Butyl Cyanoacylate (NBCA). Secondary, percutaneous catheter drainage (PCD) was performed for massive hemoperitoneum. There are some reports of ACS treated with TAE. However, combination treatment of TAE with NBCA and PCD for ACS has not been reported. Even low invasive interventional procedures may improve primary ACS if the patient has hemorrhagic diathesis or coagulopathy discouraging surgeon from laparotomy.

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Pickhardt PJ, Shimony JS, Heiken JP, Buchman TG, Fisher AJ: The abdominal compartment syndrome: CT findings. Am J Roentgenol. 1999, 173: 575-579. 10.2214/ajr.173.3.10470882.CrossRef

Sugerman HJ, Bloomfield GL, Saggi BW: Multisystem organ failure secondary to increased intra-abdominal pressure. Infection. 1999, 27: 61-66. 10.1007/BF02565176.CrossRefPubMed

Burch JM, Moore EE, Moore FA, Francoise R: The abdominal compartment syndrome. Surg Clin North Am. 1999, 76: 833-842.CrossRef

Kirkpatrick AW, Roberts DJ, De Waele J, Jaeschke R, Malbrain ML, De Keulenaer B, Duchesne J, Bjorck M, Leppaniemi A, Ejike JC, Sugrue M, Cheatham M, Ivatury R, Ball CG, Reintam Blaser A, Regli A, Balogh ZJ, D'Amours S, Debergh D, Kaplan M, Kimball E, Olvera C: Pediatric Guidelines Sub-Committee for the World Society of the Abdominal Compartment Syndrome. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med. 2013, 39: 1190-206. 10.1007/s00134-013-2906-z.PubMedCentralCrossRefPubMed

Zissin R: The significance of a positive round belly sign on CT. Am J Roentgenol. 2000, 175: 267-10.2214/ajr.175.1.1750267.CrossRef

Laffargue G, Taourel P, Saguintaah M, Lesnik A: CT diagnosis of abdominal compartment syndrome. Am J Roentgenol. 2002, 178: 771-772. 10.2214/ajr.178.3.1780771.CrossRef

Yonemitsu T, Kawai N, Sato M, Sonomura T, Takasaka I, Nakai M, Minamiguchi H, Sahara S, Iwasaki Y, Naka T, Shinozaki M: Comparison of hemostatic durability between N-butyl cyanoacrylate and gelatin sponge particles in transcatheter arterial embolization for acute arterial hemorrhage in a coagulopathic condition in a swine model. Cardiovasc Intervent Radiol. 2010, 33: 1192-1197. 10.1007/s00270-010-9863-5.CrossRefPubMed

Vikrama KS, Shyamkumar NK, Vinu M, Joseph P, Vyas F, Venkatramani S: Percutaneous catheter drainage in the treatment of abdominal compartment syndrome. Can J Surg. 2009, 52: E19-20.PubMedCentralPubMed

Letoublon C, Morra I, Chen Y, Monnin V, Voirin D, Arvieux C: Hepatic arterial embolization in the management of blunt hepatic trauma: indications and complications. J Trauma. 2011, 70: 1032-1036. 10.1097/TA.0b013e31820e7ca1.CrossRefPubMed

10.

Won DY, Kim SD, Park SC, Moon IS, Kim JI: Abdominal compartment syndrome due to spontaneous retroperitoneal hemorrhage in a patient undergoing anticoagulation. Yonsei Med J. 2011, 52: 358-361. 10.3349/ymj.2011.52.2.358.PubMedCentralCrossRefPubMed

11.

Pena AH, Kaplan P, Ganesh J, Clevac E, Marie CA: Partial splenic embolization in a child with Gaucher disease, massive splenomegaly and severe thrombocytopenia. Pediatr Radiol. 2009, 39: 1006-1009. 10.1007/s00247-009-1303-9.CrossRefPubMed

12.

Monnin V, Sengel C, Thony F, Bricault I, Voirin D, Letoublon C, Broux C, Ferretti G: Place of arterial embolization in severe blunt hepatic trauma: a multidisciplinary approach. Cardiovasc Intervent Radiol. 2008, 31: 875-882. 10.1007/s00270-007-9277-1.CrossRefPubMed

13.

Hagiwara A, Fukushima H, Inoue T, Murata A, Shimazaki S: Brain death due to abdominal compartment syndrome caused by massive venous bleeding in a patient with a stable pelvic fracture: report of a case. Surg Today. 2004, 34: 82-85. 10.1007/s00595-003-2638-8.CrossRefPubMed

14.

Isokangas JM, Perälä JM: Endovascular embolization of spontaneous retroperitoneal hemorrhage secondary to anticoagulant treatment. Cardiovasc Intervent Radiol. 2004, 27: 607-611. 10.1007/s00270-004-0219-x.CrossRefPubMed

15.

Celik V, Salihoglu Z, Demiroluk S, Unal E, Yavuz N, Karaca S, Carkman S, Demiroluk O: Effect of intra-abdominal pressure level on gastric intramucosal pH during pneumoperitoneum. Surg Laparosc Endosc Percutan Tech. 2004, 14: 247-249.CrossRefPubMed

16.

Basgul E, Bahadir B, Celiker V, Karagoz AH, Hamaloglu E, Aypar U: Effects of low and high intra-abdominal pressure on immune response in laparoscopic cholecystectomy. Saudi Med J. 2004, 25: 1888-1891.PubMed

17.

O’Mara MS, Slater H, Goldfarb IW, Caushaj PF: A prospective, randomized evaluation of intra-abdominal pressures with crystalloid and colloid resuscitation in burn patients. J Trauma. 2005, 58: 1011-1018. 10.1097/01.TA.0000162732.39083.15.CrossRefPubMed

18.

Sun ZX, Huang HR, Zhou H: Indwelling catheter and conservative measures in the treatment of abdominal compartment syndrome in fulminant acute pancreatitis. World J Gastroenterol. 2006, 12: 5068-5070.PubMedCentralPubMed

19.

Bee TK, Croce MA, Magnotti LJ, Zarzaur BL, Maish GO, Minard G, Schroeppel TJ, Fabian TC: Temporary abdominal closure techniques: a prospective randomized trial comparing polyglactin 910 mesh and vacuum-assisted closure. J Trauma. 2008, 65: 337-342. 10.1097/TA.0b013e31817fa451.CrossRefPubMed

20.

Karagulle E, Turk E, Dogan R, Ekici Z, Dogan R, Moray G: The effects of different abdominal pressures on pulmonary function test results in laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech. 2008, 18: 329-333. 10.1097/SLE.0b013e31816feee9.CrossRefPubMed

21.

Zhang MJ, Zhang GL, Yuan WB, Ni J, Huang LF: Treatment of abdominal compartment syndrome in severe acute pancreatitis patients with traditional Chinese medicine. World J Gastroenterol. 2008, 14: 3574-3578. 10.3748/wjg.14.3574.PubMedCentralCrossRefPubMed

22.

Ekici Y, Bozbas H, Karakayali F, Salman E, Moray G, Karakayali H, Haberal M: Effect of different intra-abdominal pressure levels on QT dispersion in patients undergoing laparoscopic cholecystectomy. Surg Endosc. 2009, 23: 2543-2549. 10.1007/s00464-009-0388-4.CrossRefPubMed

23.

Joshipura VP, Haribhakti SP, Patel NR, Naik RP, Soni HN, Patel B, Bhavsar MS, Narwaria MB, Thakker R: A prospective randomized, controlled study comparing low pressure versus high pressure pneumoperitoneum during laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech. 2009, 19: 234-240. 10.1097/SLE.0b013e3181a97012.CrossRefPubMed

24.

Mao EQ, Tang YQ, Fei J, Qin S, Wu J, Li L, Min D, Zhang SD: Fluid therapy for severe acute pancreatitis in acute response stage. Chin Med J. 2009, 122: 169-173.PubMed

25.

Yang ZY, Wang CY, Jiang HC, Sun B, Zhang ZD, Hu WM, Ou JR, Hou BH: Effects of early goal-directed fluid therapy on intra-abdominal hypertension and multiple organ dysfunction in patients with severe acute pancreatitis [in Chinese]. ZhonghuaWai Ke Za Zhi. 2009, 47: 1450-1454.

26.

Celik AS, Frat N, Celebi F, Guzey D, Kaplan R, Birol S, Memmi N: Laparoscopic cholecystectomy and postoperative pain: is it affected by intra-abdominal pressure?. Surg Laparosc Endosc Percutan Tech. 2010, 20: 220-222. 10.1097/SLE.0b013e3181e21bd1.CrossRefPubMed

27.

Chen X, Li A, Zhang SW: Effects of Tongfu Granule on intestinal dysfunction in patients with multiple organ dysfunction syndrome [in Chinese]. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2010, 30: 810-813.PubMed

28.

Agarwal A, Hossain Z, Agarwal A, Das A, Chakraborty S, Mitra N, Gupta M, Ray U: Reinforced tension line suture closure after midline laparotomy in emergency surgery. Trop Doct. 2011, 41: 193-196. 10.1258/td.2011.110045.CrossRefPubMed

29.

Du XJ, Hu WM, Xia Q, Huang ZW, Chen GY, Jin XD, Xue P, Lu HM, Ke NW, Zhang ZD, Li QS: Hydroxyethyl starch resuscitation reduces the risk of intra-abdominal hypertension in severe acute pancreatitis. Pancreas. 2011, 40: 1220-1225. 10.1097/MPA.0b013e3182217f17.CrossRefPubMed

30.

Topal A, Celik JB, Tekin A, Yüceaktaş A, Otelcioğlu S: The effects of 3 different intra-abdominal pressures on the thromboelastographic profile during laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech. 2011, 21: 434-438. 10.1097/SLE.0b013e3182397863.CrossRefPubMed

31.

Atema JJ, van Buijtenen JM, Lamme B, Boermeester MA: Clinical studies on intra-abdominal hypertension and abdominal compartment syndrome. J Trauma Acute Care Surg. 2014, 76: 234-240. 10.1097/TA.0b013e3182a85f59.CrossRefPubMed

Title: Successful interventional management of abdominal compartment syndrome caused by blunt liver injury with hemorrhagic diathesis
Authors: Hiroyuki Tokue
Azusa Tokue
Yoshito Tsushima
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: World Journal of Emergency Surgery / Issue 1/2014
Electronic ISSN: 1749-7922
DOI: https://doi.org/10.1186/1749-7922-9-20

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Successful interventional management of abdominal compartment syndrome caused by blunt liver injury with hemorrhagic diathesis

Abstract

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Abstract

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