Ischemic bowel as a late sequela of abdominal compartment syndrome secondary to severe burn injury

Variables Influencing the Differential Host Response to Burns in Pediatric and Adult Patients

“…Increased abdominal pressures lead to physiologic changes, including compression of the cardiopulmonary system via the diaphragm and reduced venous return through external compression. Renal perfusion is decreased, which lowers urine output; similarly, mesenteric flow is decreased (81,82). Systemic inflammation during this time also can exacerbate injury (82).…”

“…Renal perfusion is decreased, which lowers urine output; similarly, mesenteric flow is decreased (81,82). Systemic inflammation during this time also can exacerbate injury (82).…”

Mesenteric ischemia, intra-abdominal hypertension,and the abdominal compartment syndrome

“…Overall, multiple organ dysfunction syndrome points and death were greater in those with IAH than those without. In the case presented by Sun et al (1), it is noteworthy that the sequelae of the likely ischemic small bowel injury became apparent long after the presumed ischemic injury. This may have related to subclinical mucosal injury that healed with scar and no full-thickness perforation.…”

“…n the Winter 2015 issue of Plastic Surgery, Sun et al (1), in their report "Ischemic bowel as a late sequela of abdominal compartment syndrome secondary to severe burn injury", reported a case of a presumably ischemic complication likely attributable to multiple episodes of the secondary and recurrent abdominal compartment syndrome (ACS) in a young child. This report and the author's discussion is an important and timely addition to the admittedly sparse literature concerning mesenteric ischemia, intra-abdominal hypertension (IAH) and ACS, particularly in the burn population, raising many points that warrant further consideration and potentially directing future research efforts.…”

Mesenteric ischemia, intra-abdominal hypertension, and the abdominal compartment syndrome

“…I n the Winter 2015 issue of Plastic Surgery, Sun et al (1), in their report "Ischemic bowel as a late sequela of abdominal compartment syndrome secondary to severe burn injury", reported a case of a presumably ischemic complication likely attributable to multiple episodes of the secondary and recurrent abdominal compartment syndrome (ACS) in a young child. This report and the author's discussion is an important and timely addition to the admittedly sparse literature concerning mesenteric ischemia, intra-abdominal hypertension (IAH) and ACS, particularly in the burn population, raising many points that warrant further consideration and potentially directing future research efforts.…”