title: Abdominal Compartment Syndrome in a Pediatric Patient With Cloacal Exstrophy.
abstract: We present a rare complication of abdominal compartment syndrome (ACS) in a child undergoing complex urologic reconstruction. A 10-year-old female born with the abdominal wall defect cloacal exstrophy who had previously undergone multiple abdominal procedures then developed findings consistent with ACS following a complex Mitrofanoff procedure. Although intravesical pressures were not documented because of the nature of her reconstruction, her ACS-type findings were (1) abdominal pain, (2) melena, (3) pulmonary hypoinflation, (4) renal insufficiency, (5) tachycardia, and (6) segmental ischemic small bowel. Management consisted of abdominal decompression, segmental bowel resections, and wound vacuum-assisted-closure management. Patient was eventually discharged home.
authors.affiliation: Pediatric Urology, East Tennessee Children's Hospital, Knoxville, TN.
authors.forename: Caleb E
authors.initials: CE
authors.lastname: Cooper
authors.affiliation: Pediatric Surgery, Geisinger Health System, Danville, PA.
authors.forename: Alfred P
authors.initials: AP
authors.lastname: Kennedy
authors.affiliation: Pediatric Urology, East Tennessee Children's Hospital, Knoxville, TN. Electronic address: dpsmith@univpedurology.com.
authors.forename: D Preston
authors.initials: DP
authors.lastname: Smith
mesh_terms: D034861:Abdominal Wall / Q000002:abnormalities*; D002648:Child; D002988:Cloaca / Q000002:abnormalities*; D005260:Female; D006801:Humans; D059325:Intra-Abdominal Hypertension / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D013520:Urologic Surgical Procedures