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Abdominal compartment syndrome and intrahepatic portal venous gas: a possible complication of endoscopy.

Abstract：

OBJECTIVE:We report the first patient to developed abdominal compartment syndrome (ACS) with intrahepatic portal venous gas (IHPVG) and pneumatosis cystoides intestinalis following emergency upper gastrointestinal endoscopy. CASE PRESENTATION:A 53-year-old man underwent an emergency upper gastrointestinal endoscopy for suspicion of upper gastrointestinal bleeding. The patient developed intra-abdominal hypertension and ACS associated with IHPVG after the endoscopy. Although the patient developed severe shock following ACS, he was managed conservatively and successfully recovered. CONCLUSIONS:An emergency upper gastrointestinal endoscopy may be associated with intra-abdominal hypertension and ACS. Our report provides an additional case of a survivor who required no surgical intervention for ACS and IHPVG following endoscopy.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Hayakawa M,Gando S,Kameue T,Morimoto Y,Kemmotsu O

doi

10.1007/s00134-002-1492-2

keywords:

subject

Has Abstract

pub_date

2002-11-01 00:00:00

pages

1680-1

issue

11

eissn

0342-4642

issn

1432-1238

journal_volume

28

pub_type

信件

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