title: [Syndrome of abdominal compartment in trauma].
abstract: BACKGROUND
  the intra-abdominal hypertension is defined as an increase in intra-abdominal pressure more or equal as ≥ 12 mmHg and it is called as abdominal compartment syndrome when associates with any organ dysfunction. Its development in the patient with multiple trauma is the result of the mechanism of injury, aggressive resuscitation and/or surgical treatment. The goal of this investigation is to describe the monitoring and all decisions made based on the measurement of intra-abdominal pressure in a patient with multiple injuries that developed abdominal compartment syndrome.
  
  
  METHODS
  21 years old male with multiple trauma who underwent damage control surgery with splenectomy, repair of liver injury and packaging. Intra-abdominal pressure monitoring showed progressive increase that was associated with cardiopulmonary dysfunction resistant to medical treatment so we decided to unpack, which reduced the intra-abdominal pressure and improved cardiopulmonary fitness.
  
  
  CONCLUSIONS
  intra-abdominal hypertension / abdominal compartment syndrome significantly increases morbidity and mortality therefore the measurement of intra-abdominal pressure is a fundamental tool for early detection and timely management of this condition and its complications.
authors: Unidad de Terapia Intensiva de la Fundación Clínica Médica Sur, D.F. México, México. revistacma95@yahoo.com.mx
authors: Raúl
authors: R
authors: Carrillo-Esper
authors: Jesús Ojino
authors: JO
authors: Sosa-García
authors: Jorge Raúl
authors: JR
authors: Carrillo-Córdova
authors: Cinthia
authors: C
authors: Leyva-Mondragón
mesh_terms: D000063:Accidents, Traffic; D002199:Capillary Permeability; D016207:Cytokines / Q000378:metabolism; D004487:Edema / Q000209:etiology / Q000503:physiopathology; D005260:Female; D005440:Fluid Therapy / Q000009:adverse effects*; D006439:Hemodynamics; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy*; D006489:Hemostatic Techniques / Q000009:adverse effects*; D006801:Humans; D059325:Intra-Abdominal Hypertension / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D008099:Liver / Q000293:injuries / Q000601:surgery; D008365:Manometry; D009104:Multiple Trauma / Q000150:complications* / Q000601:surgery; D018384:Oxidative Stress; D011183:Postoperative Complications / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D012769:Shock / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D013156:Splenectomy; D013161:Splenic Rupture / Q000209:etiology / Q000601:surgery; D013564:Sympathetic Nervous System / Q000503:physiopathology; D055815:Young Adult
chemical_list: D016207:Cytokines