Abdominal Compartment Syndrome (ACS) With Sigmoid Volvulus (SV): Lost Hours Are Lost Lives

Marin, Andrea C; Hechter, Sharon; Prasad, Ankita; Alnabwani, Dina; Lwoodsky, Charles; Cheriyath, Pramil

doi:10.7759/cureus.33741

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…In addition to the lower extremity, which is the most common site where ACS is experienced, symptoms can also affect other locations. Cases have been described of patients who developed ACS after injuries to the feet, upper extremities, buttocks, trunk wall, back muscles or pelvis [11][12][13][14]. In children, most often fractures of the humerus and forearm bones lead to ACS syndrome, following which ACS localizes precisely in the upper limb in this age group.…”

Section: State Of Knowledgementioning

confidence: 99%

Compartment syndrome – a complex and insidious medical problem

Miciak¹,

Jurkiewicz²

2023

J Pre Clin Clin Res.

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Introduction and Objective. Compartment syndrome (CS) is a severe and rapidly progressing condition associated with muscle compartments restricted by fascia. It most commonly affects the lower extremities and develops as a result of bone fractures or soft tissue injuries. The essence is an increased pressure within the compartments which have limited ability to compensate their volumes. The aim of this review paper is to present the complexity of the problem, its pathophysiology and current methods of diagnosis and treatment. Review Methods. Printed literature,PubMed and Google Scholar databases were searched using key words related to compartment syndrome, fasciotomy, fracture and trauma. Articles and book sections in English were searched and two positions from printed literature in Polish were used. Articles were selected after analyzing abstracts, and those which were incomplete or outdated were excluded. The types of articles included prospective studies, retrospective studies and reviews. The summary was supported by case studies to add imaging and clinical value to the study. Brief description of the state of knowledge. From the initial search, 40 articles were retrieved for final analysis. The available data provide the latest information specifically on the diagnosis of compartment syndrome. Intra-compartmental pressure measuring devices currently in use were utilised. Treatment is based on surgical decompression called fasciotomy. The list of symptoms is intended to increase the consciousness in proceeding with this condition. New non-invasive diagnostic and treatment options are currently used in clinical research and provide a hopeful future in the described disease. Summary. Compartment syndrome is a relatively uncommon trauma-related condition, and if untreated can lead to severe complications or even limb amputation. Management is urgent and strictly surgical.

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Section: State Of Knowledgementioning

confidence: 99%

Compartment syndrome – a complex and insidious medical problem

Miciak¹,

Jurkiewicz²

2023

J Pre Clin Clin Res.

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Abdominal compartment syndrome in critically ill patients

Jang,

Lee,

Jeong

et al. 2023

ACC

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Intra-abdominal hypertension can have severe consequences, including abdominal compartment syndrome, which can contribute to multi-organ failure. An increase in intra-abdominal hypertension is influenced by factors such as diminished abdominal wall compliance, increased intraluminal content, and certain systemic conditions. Regular measurement of intra-abdominal pressure is essential, and particular attention must be paid to patient positioning. Nonsurgical treatments, such as decompression of intraluminal content using a nasogastric tube, percutaneous drainage, and fluid balance optimization, play crucial roles. Additionally, point-of-care ultrasonography aids in the diagnosis and treatment of intra-abdominal hypertension. Emphasizing the importance of regular measurements, timely decompressive laparotomy is a definitive, but complex, treatment option. Balancing the urgency of surgical intervention against potential postoperative complications is challenging.

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Abdominal Compartment Syndrome (ACS) With Sigmoid Volvulus (SV): Lost Hours Are Lost Lives

Cited by 2 publications

References 9 publications

Compartment syndrome – a complex and insidious medical problem

Compartment syndrome – a complex and insidious medical problem

Abdominal compartment syndrome in critically ill patients

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