Abdominal compartment syndrome after laparoscopic salpingectomy for ectopic pregnancy.
Abdominal compartment syndrome is a consequence of increased intraabdominal pressure. It can be triggered by inflammation, hemorrhage, chemical peritonitis, or prolonged insufflations during laparoscopy. It is a well-known phenomenon for intensive care specialists, but gynecologists are relatively unfamiliar with its occurrence. A woman with heterotopic pregnancy underwent urgent laparoscopy because of abdominal hemorrhage. The postoperative course was complicated by abdominal pain, ascites, bowel dysfunction, and renal failure, which resolved rapidly after catheterization and paracentesis. In this case, abdominal compartment syndrome developed after unremarkable laparoscopy, and appeared to be triggered by change of progesterone formulation. Decompression by paracentesis was lifesaving, and led to rapid resolution of the symptoms.
Soltsman
Sofia
S
Department of Obstetrics and Gynecology, the Baruch Padeh Medical Center, Poriya, Israel. sglezer@013.net
Russo
Pablo
P
Greenshpun
Anatoly
A
Ben-Ami
Moshe
M
D000005:Abdomen; D015746:Abdominal Pain / Q000209:etiology; D058186:Acute Kidney Injury / Q000209:etiology* / Q000503:physiopathology; D000328:Adult; D001201:Ascites / Q000150:complications; D003161:Compartment Syndromes / Q000150:complications / Q000209:etiology* / Q000601:surgery; D019299:Decompression, Surgical / Q000379:methods; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007273:Injections, Intramuscular; D010535:Laparoscopy; D019152:Paracentesis; D011247:Pregnancy; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D011274:Pregnancy, Tubal / Q000601:surgery*; D011374:Progesterone / Q000008:administration & dosage / Q000009:adverse effects*; D011372:Progestins / Q000008:administration & dosage / Q000009:adverse effects*
D011372:Progestins; D011374:Progesterone