Abdominal decompression for intra-abdominal hypertension after simultaneous pancreas-kidney transplantation.
Intra-abdominal hypertension (IAH) is increasingly recognized in critically ill patients and can result in respiratory, hemodynamic or renal dysfunction. We report the case of a patient suffering from diabetic nephropathy who underwent simultaneous pancreas-kidney transplantation. Within 12 h after the operation, the patient developed IAH resulting in oliguria and a rise in serum creatinine. Surgical abdominal decompression was performed, resulting in immediate restoration of kidney graft function.
Decoster
T
T
Department of Critical Care Medicine, Ghent University Hospital, De Pintelaan, Ghent, Belgium.
Vermassen
F E G
FE
Peeters
P C
PC
Hoste
E A J
EA
De Waele
J J
JJ
D000005:Abdomen; D019299:Decompression, Surgical; D003928:Diabetic Nephropathies / Q000601:surgery; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000009:adverse effects*