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Suspected abdominal compartment syndrome during endoscopic diskectomy: A case report
Anesthesia and Pain Medicine ; : 319-322, 2018.
Article in English | WPRIM | ID: wpr-715750
ABSTRACT
Abdominal compartment syndrome can produce a critical situation if not diagnosed early and managed properly. We report a case of abdominal compartment syndrome that was caused by massive irrigation of surgical fluid during endoscopic lumbar diskectomy at the L4–L5 level. There was a sudden increase in peak inspiratory pressure during the operation, and the patient's tidal volume and blood pressure decreased. When the patient's position was changed from prone to supine, abdominal distension and cyanosis of both lower extremities were discovered. Ultrasonic findings showed fluid collection in both the chest and intra-abdominal cavity. Thoracentesis and abdominal decompression surgery were performed, and the patient's overall state improved. We concluded that irrigation fluid used during the endoscopic operation leaked into the retroperitoneal space and caused abdominal compartment syndrome.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Retroperitoneal Space / Thorax / Ultrasonics / Blood Pressure / Tidal Volume / Diskectomy / Cyanosis / Lower Extremity / Endoscopy / Intra-Abdominal Hypertension Language: English Journal: Anesthesia and Pain Medicine Year: 2018 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Retroperitoneal Space / Thorax / Ultrasonics / Blood Pressure / Tidal Volume / Diskectomy / Cyanosis / Lower Extremity / Endoscopy / Intra-Abdominal Hypertension Language: English Journal: Anesthesia and Pain Medicine Year: 2018 Type: Article