Bilateral ovarian mucinous cystadenoma in an adolescent presenting as abdominal compartment syndrome

Giuliani, Andrea; Basso, L.; Demoro, Martino; Scimò, Michele; Galati, Francesca; Galati, Giulia

doi:10.1016/j.ejogrb.2007.11.007

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…The increased intraperitoneal pressure, caused by the contents in the peritoneal cavity, can have adverse physiologic effects, such as decreased cardiac output, ventilation-perfusion abnormalities with an accompanying hypoxia and hypercapnia, reduction in renal perfusion flow and glomerular filtration with decreased urine output, elevation in intracranial pressure, and impaired liver and gastrointestinal perfusion with digestive transit disorders. But the true challenge for anesthetists in this syndrome is the abdominal hypertension and its potential evolution to abdominal compartment syndrome [ 8 , 13 - 15 ]. The intra-abdominal hypertension is defined by a sustained or repeated pathological elevation in intra-abdominal pressure ≥12mmHg.…”

Section: Discussionmentioning

confidence: 99%

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Anesthetic considerations in Demons-Meigs’ syndrome: a case report

et al. 2014

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IntroductionDemons-Meigs’ syndrome is characterized by the presence of a benign ovarian tumor associated with ascites and a right-sided hydrothorax. Its pathophysiology remains unclear. Anesthesia of this syndrome is a real challenge. Respiratory, hemodynamic, metabolic problems and abdominal hypertension are the main anesthetic risks.Case presentationA 52-year-old African woman with Demons-Meigs’ syndrome was admitted for elective surgery under general anesthesia. An abdominal computed tomography scan showed a tumor mass, with tissue and cystic components associated with abundant ascites and a right pleural effusion of medium abundance. In the operating room after standard monitoring, a crash induction was performed. Just after, her saturation level decreased requiring the use of an alveolar recruitment maneuver followed by the application of positive end-expiratory pressure. Vasoconstrictor and vascular filling were used to correct the hypotension that occurred. Airway pressures remained at 35cm H2O. Maintenance of a slightly proclive position and opening of the abdomen with the progressive removal of 3200ml ascitic fluid allowed a lower thoracic pressure (airway pressures=24cm H2O). Her postoperative course was unremarkable. Clinical evolution after five months was marked by a complete recovery of our patient and no recurrence of effusion or ascites.ConclusionsDemons-Meigs’ syndrome is a benign disease with a good prognosis. Respiratory and hemodynamic problems and abdominal hypertension are the main anesthetic risks of this syndrome. Good management of these risks is necessary to preserve the prognosis.

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Section: Discussionmentioning

confidence: 99%

“…Different cases of abdominal compartment syndrome complicating Demons-Meigs’ syndrome have been reported [ 8 , 13 - 15 ]. Treatment of this syndrome is based on vascular filling, sedation, analgesia, the reverse Trendelenberg position, neuromuscular blockade and surgical decompression [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Anesthetic considerations in Demons-Meigs’ syndrome: a case report

et al. 2014

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“…6 A number of studies have also reported this tumor to have caused complications like abdominal compartment syndrome. 7,8 Reports of this tumor presenting with an umbilical hernia are very rare; these include presentation with hernial incarceration and with maceration of overlying skin. 1,9 The unique feature of this case was the presentation as an uncomplicated umbilical hernia and the absence of any overt symptoms, other than the massive distension of the abdomen.…”

Section: Case Reportmentioning

confidence: 99%

An ovarian mucinous cystadenoma, presenting with umbilical herniation

Mandal

Dastidar

Chatterjee³

et al. 2021

IJOGR

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A postmenopausal lady presented with an uncomplicated umbilical hernia and a hugely distended abdomen without any other overt symptoms. A large pelvi-abdominal lump was palpable. CT showed a huge mass which filled up the entire pelvis and most of the abdomen, with a part of it protruding through the umbilicus. Diagnosis was established histopathologically, as a benign mucinous cystadenoma of the ovary.

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Bilateral ovarian mucinous cystadenoma in an adolescent presenting as abdominal compartment syndrome

Cited by 2 publications

References 5 publications

Anesthetic considerations in Demons-Meigs’ syndrome: a case report

Anesthetic considerations in Demons-Meigs’ syndrome: a case report

An ovarian mucinous cystadenoma, presenting with umbilical herniation

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