Acute renal failure due to abdominal compartment syndrome: report on four cases and literature review
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo
; 56(4): 123-130, July-Aug. 2001. tab
Article
em En
| LILACS
| ID: lil-304104
Biblioteca responsável:
BR1.1
ABSTRACT
We report on 4 cases of abdominal compartment syndrome complicated by acute renal failure that were promptly reversed by different abdominal decompression methods. Case 1 A 57-year-old obese woman in the post-operative period after giant incisional hernia correction with an intra-abdominal pressure of 24 mm Hg. She was sedated and curarized, and the intra-abdominal pressure fell to 15 mm Hg. Case 2 A 73-year-old woman with acute inflammatory abdomen was undergoing exploratory laparotomy when a hypertensive pneumoperitoneum was noticed. During the surgery, enhancement of urinary output was observed. Case 3 An 18-year-old man who underwent hepatectomy and developed coagulopathy and hepatic bleeding that required abdominal packing, developed oliguria with a transvesical intra-abdominal pressure of 22 mm Hg. During reoperation, the compresses were removed with a prompt improvement in urinary flow. Case 4 A 46-year-old man with hepatic cirrhosis was admitted after incisional hernia repair with intra-abdominal pressure of 16 mm Hg. After paracentesis, the intra-abdominal pressure fell to 11 mm Hg
Texto completo:
1
Índice:
LILACS
Assunto principal:
Síndromes Compartimentais
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Abdome
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Injúria Renal Aguda
Limite:
Adolescent
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Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo
Assunto da revista:
MEDICINA
Ano de publicação:
2001
Tipo de documento:
Article