title: [Abdominal compartment syndrome caused by ruptured abdominal aortic aneurysm in vena cava].
abstract: BACKGROUND
  Abdominal compartment syndrome (ACS) is a rapid increase in intra-abdominal pressure asssociated with multi-organs dysfunction. It is caused mostly by abdominal bleeding und massive volume compensation.
  
  
  METHODS
  We reported a 76-year-old patient admitted to the hospital with aortic abdominal aneurysm, 13.7 cm in diameter, ruptured in vena cava, which caused intraabdominal hypertension, the liver and kidney dysfunction, as well as circulation, respiration and metabolic disorders. Intraabdominal pressure was measured by bladder manometry. Central venous pressure and systemic arterial pressure were monitored continuously. Clinical signs were thrill and typical abdominal bruit. Aorto-caval fistula was diagnosed by the use of contrast computerized tomography. Caval endoaneurysmatic suture and aortobiiliac bypass with 18 x 9 mm Dacron prothesis were performed. Haemodynamic changes were mostly corrected during the surgery. The complete correction of haemodynamics, liver, kidney, respiration and metabolic changes was established in the next few weeks.
  
  
  CONCLUSIONS
  The ACS was caused by rupture of abdominal aortic aneurysm in vena cava followed by edema of the abdominal organs, retroperitoneum, abdominal wall and ascites. Caval endoaneurysmatic suture and aortobiiliac bypass with 18 x 9 mm Dacron prothesis solved aortocaval fistula as well as all the organs and metabolic dysfunctions caused by ACS.
authors.affiliation: Klinicki centar Crne Gore, Hirurska klinika, Podgorica, Crna Gora.
authors.forename: Davor
authors.initials: D
authors.lastname: Musić
authors.forename: Bozina
authors.initials: B
authors.lastname: Radević
authors.forename: Goran
authors.initials: G
authors.lastname: Batrićević
authors.forename: Aleksandar
authors.initials: A
authors.lastname: Filipović
mesh_terms: D034841:Abdominal Cavity; D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications*; D001019:Aortic Rupture / Q000150:complications*; D001164:Arteriovenous Fistula / Q000209:etiology*; D003161:Compartment Syndromes / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D014682:Vena Cava, Inferior