| Abstract: Introduction & Aims: Abdominal compartment syndrome (ACS) occurs almost exclusively in patients with severe abdominal trauma. Herein we report on a single institutions experience with ACS the absence of concomitant intra-abdominal injuries.
Methods: Prospectively collected data were retrieved and reviewed from our trauma registry. Over the last 3 years we have diagnosed and treated 9 patients with ACS in the absence of abdominal injuries. ACS was diagnosed clinically and with bladder pressure measurement. All patients were treated with decompresive lapartomy.
Results: Table 1 - Review of 9 pts with ACS without intra-abdominal injuries.
Discussion: ACS when unassociated with primary intra-abdominal injuries occurs in young patients with severe chest, pelvic or long bone injuries requiring massive transfusion. In our series, the mortality rate was greater than 50% despite decompressive lapartomy. Mortality was secondary to MSOF, specifically a combination of respiratory and hepatic failure. |
