Management of abdominal compartment syndrome after transurethral resection of the prostate

Gaut, Megan M.; Ortiz, Jaime

doi:10.1016/j.bjane.2013.12.001

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…It has been suggested that measurement of the abdominal girth and examination of the abdomen may be helpful when querying a bladder rupture. A more helpful approach in these cases may be to routinely examine the abdomen in patients having a rigid cystoscopy, particularly considering the high rate of asymptomatic bladder integrity compromise [ 10 ]. In a case illustrating acute ACS after a transurethral resection of the prostate, authors note the change of practice in urological procedures: they make a point of routinely assessing the abdomen visually with operating room lights on before extubation [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…They also note newly implemented measurement of the input and output during the urological cases. Difficulty with ventilation can alert the anaesthetist to consider fluid extravasation in any endoscopic bladder procedure or arthroscopic hip procedure [ 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…All of the patients experiencing extraperitoneal perforation with severe symptoms were managed proactively with a surgical laparotomy. During a further literature review of cases, there have been reports of ACS following bladder neck rupture while performing a TURP [ 10 ]. In that situation, patient was managed with a laparotomy and had three liters of fluid extravasated in the abdomen in contrast to the more significant extravasation of eight to nine liters.…”

Section: Discussionmentioning

confidence: 99%

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Acute Abdominal Compartment Syndrome following Extraperitoneal Bladder Perforation

Licina

2017

Case Reports in Anesthesiology

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Extraperitoneal bladder perforation is a known complication of a commonly performed rigid cystoscopy. If unrecognized, this complication can lead to continuous intra-abdominal fluid leakage with consequent organ function impairment and symptoms. This is the first case report in literature of a transurethral bladder perforation causing an acute abdominal compartment syndrome, which was subsequently managed conservatively with supportive management only. Case Presentation. We describe a clinical course of a 73-year-old Caucasian female whose initial acute presentation involved urinary symptoms. Surgery and general anaesthesia during rigid cystoscopy were complicated by an initially unrecognized extraperitoneal bladder perforation, resulting in fluid extravasation. This extravasation resulted in transurethral bladder resection syndrome with acute intra-abdominal free fluid accumulation. This complication caused acute abdominal compartment syndrome resulting in respiratory end-organ compromise and immediate postextubation respiratory failure. Patient required an emergency reintubation. During the management, diagnosis was considered through the use of the point of care abdominal ultrasound. Postoperatively, patient was managed conservatively in intensive care. Postoperative course included an approximate nine liters of urinary diuresis and supportive ventilation for four days. Conclusion. There is equipoise in the clinical management of abdominal compartment syndrome with regard to supportive medical management alone or invasive surgical treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Acute Abdominal Compartment Syndrome following Extraperitoneal Bladder Perforation

Licina

2017

Case Reports in Anesthesiology

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“…Extraperitoneal fluid collection is one of the common complications after TURP, which was classified using the Clavien system [ 3 ]. Also, two prior cases with abdominal compartment syndrome and pubic osteomyelitis due to capsular perforation after prostatectomy were reported before [ 4 , 5 ]. Pneumoretroperitoneum, pneumomediastinum, and subcutaneous emphysema were reported as colon perforation or diverticulitis and bladder perforation associated complication previously [ 6 – 8 ].…”

Section: Discussionmentioning

confidence: 99%

It Suddenly Occurred: Extensive Subcutaneous Emphysema after Bipolar Transurethral Resection of Prostate

Bağcıoğlu

Karadağ

Kocaaslan

et al. 2015

Case Reports in Urology

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Subcutaneous emphysema is a very rare and good-natured complication after transurethral resection of prostate (TURP). It has been reported as colon perforation, diverticulitis, and bladder perforation associated complication previously. We report the first case of a wide subcutaneous emphysema due to microperforations of prostatic capsule, without a bladder perforation after TURP. Any sign of clinic situation should lead to ceasing of the procedure immediately; otherwise, it can cause a life-threatening problem of abdominal compartment syndrome.

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Suspected abdominal compartment syndrome during endoscopic diskectomy - A case report -

et al. 2018

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Incisions made in endoscopic operations are small, decreasing tissue damage and speeding recovery. Endoscopic techniques are therefore widely used in various surgeries, including knee and shoulder joint surgery and vertebral disc operations. However, it is necessary to use a large amount of irrigation fluid to obtain a surgical view during endoscopy, and this fluid can extravasate into the surrounding tissues.Abdominal compartment syndrome (ACS) is a serious condition that causes multi-organ dysfunction because of CASE REPORTA 75-year-old female patient (height: 150 cm, weight: 44 kg) was admitted for lower back pain, a tingling sensation in both calves, and left calf numbness. She was scheduled for left L5-S1 level laminectomy, diskectomy (compression fracture at the L4 level, L5-S1 level posterolateral disc herniation) and right L4-5 level endoscopic diskectomy (L4-5 level extraforaminal disc herniation).There was no specific disease except hypertension. Pre- Abdominal compartment syndrome can produce a critical situation if not diagnosed early and managed properly. We report a case of abdominal compartment syndrome that was caused by massive irrigation of surgical fluid during endoscopic lumbar diskectomy at the L4-L5 level. There was a sudden increase in peak inspiratory pressure during the operation, and the patient's tidal volume and blood pressure decreased. When the patient's position was changed from prone to supine, abdominal distension and cyanosis of both lower extremities were discovered. Ultrasonic findings showed fluid collection in both the chest and intra-abdominal cavity. Thoracentesis and abdominal decompression surgery were performed, and the patient's overall state improved. We concluded that irrigation fluid used during the endoscopic operation leaked into the retroperitoneal space and caused abdominal compartment syndrome.

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Management of abdominal compartment syndrome after transurethral resection of the prostate

Cited by 3 publications

References 8 publications

Acute Abdominal Compartment Syndrome following Extraperitoneal Bladder Perforation

Acute Abdominal Compartment Syndrome following Extraperitoneal Bladder Perforation

It Suddenly Occurred: Extensive Subcutaneous Emphysema after Bipolar Transurethral Resection of Prostate

Suspected abdominal compartment syndrome during endoscopic diskectomy - A case report -

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