Management of intraabdominal hypertension by percutaneous catheter drainage.
The authors report a case of an 18-year-old man with T-cell acute lymphocytic leukemia who developed hemorrhagic pancreatitis after chemotherapy. He subsequently developed abdominal compartment syndrome (ACS). Computed tomography showed a large fluid-filled mass in the area of the pancreas. As a result of the instability of his condition, surgical decompression, the standard therapy for ACS, was believed to carry significant morbidity and potential mortality. The patient underwent ultrasound-guided drainage of the peripancreatic fluid, which decreased his abdominal pressures and improved his clinical status. Without this procedure, the patient may not have tolerated subsequent surgery.
Reckard
Justin M
JM
Department of Surgery, Tripler Army Medical Center, MCHK-DSG, 1 Jarrett White Road, Honolulu, Hawaii 96859-5000, USA.
Chung
Mathew H
MH
Varma
Manish K
MK
Zagorski
Stanley M
SM
D034841:Abdominal Cavity; D000208:Acute Disease; D000293:Adolescent; D002404:Catheterization / Q000379:methods*; D003161:Compartment Syndromes / Q000628:therapy*; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D015459:Leukemia-Lymphoma, Adult T-Cell / Q000150:complications; D008297:Male; D010195:Pancreatitis / Q000150:complications; D014465:Ultrasonics; D014463:Ultrasonography