Acute kidney injury due to abdominal compartment syndrome caused by duodenal metastases of prostate cancer

Gürel, Ali

doi:10.1002/ccr3.305

Cited by 4 publications

(5 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The aim of decompressive laparotomy in ACS is both to release the IAP and to treat the underlying disease. In our case, and by contrast to the other cancer-associated ACS reported in literature [4, 5, 7, 8, 9, 10], no surgical removal of tumor was done because of the huge tumor size. The specific treatment was based on imatinib tablets taken via the naso-gastric tube during the mechanic ventilation.…”

Section: Discussioncontrasting

confidence: 63%

See 1 more Smart Citation

Successful Imatinib Treatment of an Abdominal Compartment Syndrome due to Huge Gastrointestinal Stromal Tumour

Bertucci¹,

Guiramand²,

Mescam³

et al. 2019

Case Rep Oncol

View full text Add to dashboard Cite

Gastrointestinal stromal tumours (GISTs) are the most common digestive mesenchymal tumours, whose prognosis has been revolutionised by targeted therapies such as oral imatinib. Abdomen compartment syndrome (ACS) is associated with mortality superior to 50% in adults. ACS has never been reported to date in patients with GIST. Specific anticancer treatment in critically ill patients in intensive care unit (ICU) remains a matter of debate given the high mortality rate. Here, we report the case of a 58-year-old woman with ACS related to a 40-cm huge GIST and multi-organ failure requiring mechanical ventilation, vasopressive support and haemodialysis. She was treated in emergency with imatinib via the naso-gastric tube (day 1), then at day 3 by decompressive laparotomy and “open abdomen” without any tumour removal. Imaging after 11 days imatinib showed objective tumour response. Because of improvement of multi-organ dysfunctions, the laparotomy was closed at day 14, and the resuscitation procedures were progressively stopped. After discharge from hospital, she survived nearly two years. This is the first case of successful treatment of cancer-associated ACS by targeted therapy and decompressive laparotomy. Imatinib in critically ill patients with GIST may be successful even in presence of multi-organ failure.

show abstract

Section: Discussioncontrasting

confidence: 63%

“…To our knowledge, this is the first case of GIST-associated ACS reported in literature. The other cancer-associated ACS published in the English literature include Wilm's tumor, neuroblastoma, benign and malignant ovarian tumors, prostate and rectal cancers, rhabdomyosarcoma, and Burkitt lymphoma [4, 5, 6, 7, 8, 9, 10].…”

Section: Discussionmentioning

confidence: 99%

Successful Imatinib Treatment of an Abdominal Compartment Syndrome due to Huge Gastrointestinal Stromal Tumour

Bertucci¹,

Guiramand²,

Mescam³

et al. 2019

Case Rep Oncol

View full text Add to dashboard Cite

show abstract

“…A PIA se torna ligeiramente positiva nos pacientes em posição supina, sobretudo quando em ventilação mecânica, devido à transmissão da pressão intratorácica exercida através do diafragma. (14) Segundo Dupont e cols. e Villa e cols., oligúria progredindo para anúria e azotemia pré-renal não responsiva à expansão volêmica caracterizam a disfunção renal da SCA.…”

Section: Discussionunclassified

Síndrome Compartimental Abdominal e Injúria Renal Aguda

Silva¹,

Younes-Ibrahim²

2021

ANAIS DA ANM

View full text Add to dashboard Cite

O aumento excessivo da pressão intra-abdominal (PIA) é capaz de provocar intensas disfunções orgânicas promovidas pela dificuldade de circulação sanguínea, configurando um quadro clínico grave denominado Síndrome Compartimental Abdominal (SCA). Os rins estão entre os órgãos comprometidos na SCA e a sua disfunção pode sinalizar precocemente para o diagnóstico da síndrome abdominal e para o prognóstico de vida dos pacientes. Neste manuscrito promovemos uma revisão da literatura sobre a correlação entre função renal e SCA, descrevendo seus mecanismos fisiopatológicos, seu manejo clínico e suas características de causalidade. Foram analisados estudos publicados originalmente em língua inglesa, francesa, espanhola e portuguesa, entre 2008 e 2018, na base de dados PubMed, pesquisados entre outubro e novembro de 2018, com as seguintes palavras-chave: ("Abdominal Compartment Syndrome") AND ("Acute Renal Failure" OR "Acute Kidney Injury"). Nos critérios de inclusão foram destacados os seguintes termos: SCA e injúria renal aguda (IRA). Os filtros utilizados foram os seguintes: estudos randomizados controlados realizados em humanos, relatos de casos, artigos publicados na língua inglesa, espanhola, francesa e portuguesa entre o ano de 2008 e 2018 e foram excluídos os estudos pediátricos. Integram esta revisão 12 artigos que preencheram os critérios de seleção. Os estudos analisados envolveram 2661 pacientes que: 1) desenvolveram SCA; 2) demonstraram que a IRA estava intrinsicamente ligada a Pressão Intra Abdominal (PIA) dinâmica) 3) cursaram com limitação de pré-carga e aumento de pós-carga e 4) apresentaram redução do débito urinário conforme aumento da PIA. Abordamos também as modalidades diagnósticas e as intervenções terapêuticas para a prevenção da hipertensão intra-abdominal (HIA)/SCA que são de suma importância para prevenção da IRA, sobretudo em pacientes críticos, modificando consideravelmente o prognóstico e o desfecho clínico.

show abstract

“…Our PubMed literature survey using keywords of “duodenum or duodenal”, “metastasis or metastatic”, and “cancer or tumor”, did not identify any systematic analyses or reviews highlighting tumor metastases to the duodenum. Several case reports have individually described duodenal metastases from various distant organs, but these metastases mostly arose from the breast ( 1 ), lung ( 2 , 3 ), kidney ( 5 ), prostate ( 7 ), and uterus ( 8 ), and on rare occasions from the liver ( 4 ), colon ( 3 ), bladder ( 6 ), bone ( 9 ), and skin ( 10 ), but never from the ureter. Upper urothelial tract cancers usually metastasize to the lung (4%), liver (12%), and bone (3%) ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

“…Metastasis to the duodenum has been reported on rare occasions in a limited number of cases of several human malignancies, including those of the breast ( 1 ), lung ( 2 , 3 ), liver ( 4 ), colon ( 3 ), kidney ( 5 ), bladder ( 6 ), prostate ( 7 ), uterus cervix ( 8 ), bone ( 9 ), and skin ( 10 ). However, duodenal metastasis from ureteral cancer has seldom been reported, and its clinical course is unclear.…”

Section: Introductionmentioning

confidence: 99%

A Rare Case of Ureteral Carcinoma with Recurrence in the Duodenum Requiring Double Stenting

et al. 2017

View full text Add to dashboard Cite

Abstract:A 61-year-old man who had undergone total nephrouretectomy eight months earlier for right ureteral carcinoma was referred for the investigation of elevated serum hepatobiliary enzymes. Computed tomography revealed a small mass invading the lower bile duct. Duodenoscopy revealed a central ulcerative tumor near the major papilla, and a biopsy histologically confirmed metastatic ureteral carcinoma. Endoscopic biliary stenting ameliorated the cholangitis, and gemcitabine-based chemotherapy was initiated. The patient was stable for a year until a duodenal stenosis developed and required duodenal stenting. Endoscopic procedures play important roles in the management of rare metastases to the duodenum.

show abstract

Acute kidney injury due to abdominal compartment syndrome caused by duodenal metastases of prostate cancer

Cited by 4 publications

References 8 publications

Successful Imatinib Treatment of an Abdominal Compartment Syndrome due to Huge Gastrointestinal Stromal Tumour

Successful Imatinib Treatment of an Abdominal Compartment Syndrome due to Huge Gastrointestinal Stromal Tumour

Síndrome Compartimental Abdominal e Injúria Renal Aguda

A Rare Case of Ureteral Carcinoma with Recurrence in the Duodenum Requiring Double Stenting

Contact Info

Product

Resources

About