Secondary abdominal compartment syndrome after military wounding.
Intra-abdominal hypertension and abdominal compartment syndrome are increasingly recognised as causes of serious morbidity and mortality in critically injured patients, particularly those with significant burns. Identification of at risk patients, routine monitoring of intra-abdominal pressures and appropriate, early treatment may reduce the incidence and complication rate of abdominal compartment syndrome and so improve outcomes in critically injured personnel. We present the case of an American Marine injured in an explosion while on patrol in Afghanistan, who despite the absence of significant intraabdominal injury, went on to develop abdominal compartment syndrome and required decompressive laparotomy.
Lamb
C M
CM
General Surgery, St Mary's Hospital, Isle of Wight.
Berry
J E A
JE
DeMello
W F
WF
Cox
C
C
D000005:Abdomen / Q000503:physiopathology*; D001753:Blast Injuries / Q000150:complications*; D003161:Compartment Syndromes / Q000209:etiology* / Q000503:physiopathology* / Q000628:therapy; D006801:Humans; D008297:Male; D008889:Military Personnel; D009779:Occlusive Dressings; D011140:Polyurethanes; D018746:Systemic Inflammatory Response Syndrome / Q000150:complications*
C027324:Opsiture; D011140:Polyurethanes