Abdominal compartment syndrome due to extracorporeal membrane oxygenation in adults.
Extracorporeal membrane oxygenation (ECMO) improves the outcome of refractory cardiogenic shock. Few studies in adult populations have specifically addressed the complications of ECMO. Abdominal compartment syndrome (ACS) has been previously described in the pediatric literature, but it has never been directly attributed to ECMO alone. The authors describe two cases of ACS directly induced by venoarterial ECMO. In one case, decompressive laparotomy restored an adequate hemodynamic status. The authors hypothesize that ECMO contributed to ACS by inducing massive fluid overload and subsequent tense ascites. In conclusion, when ECMO dysfunction or hemodynamic impairment occurs, ACS should be considered and a decompressive laparotomy should be performed.
Augustin
Pascal
P
Department of Anesthesiology and Surgical Intensive Care Unit, Hôpital Bichat-Claude Bernard, Assistance Publique-Hôpitaux de Paris, Université Paris VII, Paris, France. pascalaugustin@hotmail.com
Lasocki
Sigismond
S
Dufour
Guillaume
G
Rode
Julie
J
Karsenti
Alexandre
A
Al-Attar
Nawwar
N
Bazeli
Romain
R
Montravers
Philippe
P
D000005:Abdomen; D000368:Aged; D003161:Compartment Syndromes / Q000209:etiology*; D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged