title: Abdominal Compartment Hypertension and Abdominal Compartment Syndrome.
abstract: Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are rare but potentially morbid diagnoses. Clinical index of suspicion for these disorders should be raised following massive resuscitation, abdominal wall reconstruction/injury, and in those with space-occupying disorders in the abdomen. Gold standard for diagnosis involves measurement of bladder pressure, with a pressure greater than 12 mm Hg being consistent with IAH and greater than 25 mm Hg being consistent with ACS. Decompressive laparotomy is definitive therapy but paracentesis can be equally therapeutic in properly selected patients. Left untreated, ACS can lead to multisystem organ failure and death.
authors.affiliation: Department of Surgery, George Washington University, 2150 Pennsylvania Avenue, Northwest, Suite 6B, Washington, DC 20037, USA.
authors.forename: Patrick
authors.initials: P
authors.lastname: Maluso
authors.affiliation: Division of Hepatology, University of Kansas, 3901 Rainbow Boulevard, MS 1023, Kansas City, KS 66160, USA; Division of Liver Transplantation, University of Kansas, 3901 Rainbow Boulevard, MS 1023, Kansas City, KS 66160, USA.
authors.forename: Jody
authors.initials: J
authors.lastname: Olson
authors.affiliation: Department of Surgery, Center for Trauma and Critical Care, George Washington University, 2150 Pennsylvania Avenue, Northwest, Suite 6B, Washington, DC 20037, USA. Electronic address: bsarani@mfa.gwu.edu.
authors.forename: Babak
authors.initials: B
authors.lastname: Sarani
mesh_terms: D006801:Humans; D059325:Intra-Abdominal Hypertension / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy; D009102:Multiple Organ Failure / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology* / Q000628:therapy
keywords: Abdominal compartment syndrome; Abdominal hypertension