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.
Department of Surgery, Tripler Army Medical Center, MCHK-DSG, 1 Jarrett White Road, Honolulu, Hawaii 96859-5000, USA.
Justin M
JM
Reckard
Mathew H
MH
Chung
Manish K
MK
Varma
Stanley M
SM
Zagorski
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