CT Diagnosis of Abdominal Compartment Syndrome

Laffargue, G.; Taourel, Patrice; Saguintaah, M.; Lesnik, A.

doi:10.2214/ajr.178.3.1780771

Cited by 20 publications

(5 citation statements)

References 4 publications

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“…An upper limb systolic BP Ͼ85 mm Hg was only maintained with ongoing intravascular resuscitation. Characteristic abdominal CT findings for early ACS were seen in our patient including moderate free peritoneal fluid, inferior vena cava compression, and bowel wall thickening and enhancement (9). The patient's abdomen further enlarged after the abdominal CT scan, precipitating laparotomy.…”

Section: Discussionmentioning

confidence: 61%

“…The "round belly sign" on CT is diagnostic of ACS in adult patients (100% sensitivity, 94% specificity) as an anteroposterior-to-transverse abdominal ratio Ͼ0.80, measured at the level of the left renal vein (8). An anteroposterior-to-transverse abdominal ratio of 0.76 correlated with an intravesicular pressure of 20 cm H 2 O in a teenager with ACS (9).…”

Section: Discussionmentioning

confidence: 99%

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Secondary abdominal compartment syndrome in a case of pediatric trauma shock resuscitation

Morrell

Vinden²,

Singh³

et al. 2007

Pediatric Critical Care Medicine

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Secondary abdominal compartment syndrome developed in this pediatric trauma patient with hemorrhagic shock, possibly from aggressive crystalloid resuscitation. This trauma case highlights the importance of early hemorrhagic control with balanced crystalloid/transfusion therapy. Secondary abdominal compartment syndrome in pediatric trauma is rare and may reflect physiologic differences during development, less aggressive resuscitation practices, and/or underrecognition.

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Secondary abdominal compartment syndrome in a case of pediatric trauma shock resuscitation

Morrell

Vinden²,

Singh³

et al. 2007

Pediatric Critical Care Medicine

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“…However, Zissin [6], reported that valuable peritoneal diseases may increase this ratio without ACS, and Laffargue et al [7] revealed that the ratio of anteroposterior-to-transverse abdominal diameter was under 0.8 in primary ACS. In our case, the ratio of anteroposterior-to-transverse diameter on CT was equal to 1:0.76 (Figure 1c).…”

Section: Discussionmentioning

confidence: 99%

Successful interventional management of abdominal compartment syndrome caused by blunt liver injury with hemorrhagic diathesis

Tokue

Tsushima

2014

World J Emerg Surg

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We report that a case of primary abdominal compartment syndrome (ACS), caused by blunt liver injury under the oral anticoagulation therapy, was successfully treated. Transcatheter arterial embolization (TAE) was initially selected, and the bleeding point of hepatic artery was embolized with N-Butyl Cyanoacylate (NBCA). Secondary, percutaneous catheter drainage (PCD) was performed for massive hemoperitoneum. There are some reports of ACS treated with TAE. However, combination treatment of TAE with NBCA and PCD for ACS has not been reported. Even low invasive interventional procedures may improve primary ACS if the patient has hemorrhagic diathesis or coagulopathy discouraging surgeon from laparotomy.

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“…CT scans were evaluated by a single senior radiology faculty (AR) using published landmarks for measurements of abdominal geometry. 9,10 Each scan was evaluated at the level of the left renal vein crossing the aorta (superior cut), and at the level of the L4/L5 vertebral junction (inferior cut) ( Figure 1), using the National Institutes of Health image processing program, 'ImageJ'. In brief, the total cross-sectional area of the abdomen including all contents deep to the fascia (total intra-abdominal area) was measured as was the RP area and subtracted to give the IP are ( Figure 2).…”

Section: Radiographic Evaluationmentioning

confidence: 99%

Loss of abdominal domain: Is it the abdominal wall or contents?

Johnston

Hafiz

Raizon

et al. 2017

Trauma

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Background: Intra-abdominal hypertension and abdominal compartment syndrome are significant sources of morbidity and mortality in the post-surgical and trauma patient. Several anatomic variables may contribute to the inability to close the abdomen such as retraction of the abdominal wall and intra-abdominal volume changes. This study seeks to quantify these changes and determined which predominates. Methods: Retrospective analysis of computed tomography scans of patients whose abdomens could not be closed secondary to intra-abdominal hypertension. Patients were included who had computed tomography scans available with both an open abdomen and after primary abdominal wall closure. Abdominal wall lengths along with total abdominal, intra-peritoneal, and retroperitoneal cross-sectional areas were measured at two anatomic levels. Results: Seven patients' computed tomography scans were evaluated. The closed abdominal wall lengths averaged 2.3 cm and 2.1 cm longer after closure at each point of measurement (p ¼ 0.002 and p ¼ 0.03). Total abdominal crosssectional area decreased post-closure by 14% for both measurements (p ¼ 0.009 and p ¼ 0.04). Conclusion: Measurable increases in intra-abdominal cross-sectional area and decreases in abdominal wall length both contribute to the inability to safely close the abdomen in patients with intra-abdominal hypertension. These findings support the use of multimodal techniques in the management of the open abdomen.

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CT Diagnosis of Abdominal Compartment Syndrome

Cited by 20 publications

References 4 publications

Secondary abdominal compartment syndrome in a case of pediatric trauma shock resuscitation

Secondary abdominal compartment syndrome in a case of pediatric trauma shock resuscitation

Successful interventional management of abdominal compartment syndrome caused by blunt liver injury with hemorrhagic diathesis

Loss of abdominal domain: Is it the abdominal wall or contents?

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