| Abstract: INTRODUCTION: The abdominal compartiment syndrome (ACS) is a severe pathology present in different processes(1) such as acute abdominal diseases, blunt abdominal injuries, tense ascitis, or other associated to increase in intra/retroperitoneal pressure. Diverse pathologies of the anterior abdominal wall may cause an increase in intraabdominal pressure and secondarily ACS.
The increase of abdominal pressure by external compression is little known etiologicaly. Our purpose submitting this anecdotal experience is to point out that there is a subset of patients who may need surgical drainage of rectus sheats hematoma in order to decompress a clinically significant ACS
OBJETIVE: To evaluate the decompression treatment effectiveness of ACS in two patients with rectus sheath hematoma.
METHODS: We examined two documented cases of the rectus sheath hematoma. Intraabdominal pressure were indirectly measured through urinary bladder. Serum urea and creatinine levels were measured once a day. Both patients developed intra-abdomnal hypertension (IAHT) and clinical ACS, nedding abdominal descompression through and drainage of hematoma .
CONCLUSIONS: The rectus sheats hematoma drainage, showed an immediate decreased in IAHT. In our cases the decompressive treatment were effective, improving ACS and urodynamic variables after surgery. Knowing that patiens with rectus sheats hematoma may develop ACS, has been proposed in the literature by others authors (2,3). We consider that surgical drainage is imperative in patients suffering ACS caused by rectus sheats hematoma.
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