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Published in: Journal of Medical Case Reports 1/2014

Open Access 01-12-2014 | Case report

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

Authors: Kinga Ciemniewska-Gorzela, Tomasz Piontek, Andrzej Szulc

Published in: Journal of Medical Case Reports | Issue 1/2014

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Abstract

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.
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Metadata
Title
Abdominal compartment syndrome – the prevention and treatment of possible lethal complications following hip arthroscopy: a case report
Authors
Kinga Ciemniewska-Gorzela
Tomasz Piontek
Andrzej Szulc
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2014
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-8-368

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