Fatal Abdominal Compartment Syndrome Due to Constipation: A Case Report

Kongkatong, Matthew; Patel, Malav; Thom, Christopher; Moak, James H.

doi:10.5811/cpcem.2021.7.53295

Cited by 5 publications

(4 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With the disruption of the intestinal barrier, bacterial translocation could lead to the initiation of systemic inflammatory response syndrome, multiple organ dysfunction syndromes, or even death [Puleo 2011]. Defecation delay also may result in increased intra-abdominal pressure, which can further lead to dysfunction of the abdominal organ [Al Ali 2021; Kongkatong 2022].…”

Section: Discussionmentioning

confidence: 99%

Effect of Defecation Delay in Patients After Tricuspid Valve Replacement: A Retrospective Study

Chen

Qin

et al. 2023

HSF

View full text Add to dashboard Cite

Background: Defecation delay is a common symptom in patients after tricuspid valve replacement (TVR). Previous studies have demonstrated that defecation delay was associated with worse clinical outcomes of critically ill patients. Our study aimed to investigate the incidence and risk factors of defecation delay in patients after TVR and its adverse clinical outcomes. Methods: A retrospective study was conducted in 206 patients undergoing TVR under cardiopulmonary bypass from May 2005 to July 2021. According to the first postoperative defecation time after surgery, patients were divided into the delayed group (>3 days) and control group (≤3 days). Baseline characteristics and preoperative, intraoperative, and postoperative data were collected to investigate the clinical outcomes of defecation delay. Results: Among the 206 patients, 51.9% (107/206) cases were classified into the defecation delay group. Univariate analysis showed that age (P = 0.043), preoperative platelets (PLT) (P < 0.001), cardiopulmonary bypass (CPB) time (P = 0.013), minimum rectal temperature (P = 0.042), and the use of prokinetic drugs (P = 0.015) were significantly different in the two groups. In addition, the perioperative adverse events in the defecation delay group were significantly higher than that of the control group. Logistic regression analysis indicated that the mortality of patients was associated with postoperative renal dysfunction (P = 0.047) and postoperative respiratory failure (P = 0.004) but was not associated with defecation delay (P > 0.05). Conclusion: Patients with defecation delay after TVR were more likely to appear adverse events, however, defecation delay was not associated with mortality after TVR.

show abstract

Section: Discussionmentioning

confidence: 99%

Effect of Defecation Delay in Patients After Tricuspid Valve Replacement: A Retrospective Study

Chen

Qin

et al. 2023

HSF

View full text Add to dashboard Cite

show abstract

“…In the adult population, there is very limited literature on ACS related to constipation in adults. A case report by Kongkatong et al [ 9 ] describes an adult patient with chronic constipation on long-term clozapine with a likely diagnosis of ACS. Despite undergoing urgent decompressive laparotomy, the patient suffered a cardiac arrest on table and subsequently demised.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Compartment Syndrome Secondary to Constipation in an Adult Patient With Cerebral Palsy

Ting,

Dharshini,

Chew

2023

Cureus

View full text Add to dashboard Cite

The majority of patients with constipation can often be treated conservatively with laxatives, suppositories, or enemas in mild cases. However, endoscopic decompression or surgical intervention may be required in some instances. Abdominal compartment syndrome as a result of constipation is rarely seen in the literature. We report a case of faecal impaction, which led to abdominal compartment syndrome in an adult patient with cerebral palsy. With increasing life expectancy, such cases may be increasingly encountered in the adult population. Severe complications of constipation should not be overlooked, especially in this at-risk population. Early recognition of abdominal compartment syndrome is key in its management.

show abstract

“…Other complications of chronic constipation include abdominal compartment syndrome (ACS), defined as organ dysfunction caused by an increase in intra-abdominal pressure greater than 20 millimeters of mercury. The World Society of the Abdominal Compartment Syndrome (WSACS) classifies this condition by its underlying cause: decreased abdominal compliance (e.g., burns); increased intra-abdominal contents (e.g., hemoperitoneum, ascites); increased intraluminal contents (e.g., intestinal volvulus, ileus, and constipation), capillary leak/fluid resuscitation, and miscellaneous causes such as obesity and peritonitis [16].…”

Section: Discussionmentioning

confidence: 99%

Acute Hydronephrosis Secondary to Methadone-Induced Constipation

Kandhi¹,

Chinta²,

Neme³

et al. 2022

Cureus

View full text Add to dashboard Cite

Opioid-induced constipation is a significant medical problem accounting for over 40% to 60% of patients without cancer receiving opioids. We report a unique case of a 71-year-old male with a history of opioid use disorder now on methadone maintenance presenting with severe opioid-induced constipation and fecal impaction causing extrinsic compression on the right-sided ureter resulting in right hydronephrosis and hydroureter that improved with aggressive bowel regime with the stool softener, laxatives and enemas.Methadone alone can predispose to hydroureter with hydronephrosis due to external compression from the severe intestinal dilation secondary to opioid-induced constipation.

show abstract

Fatal Abdominal Compartment Syndrome Due to Constipation: A Case Report

Cited by 5 publications

References 13 publications

Effect of Defecation Delay in Patients After Tricuspid Valve Replacement: A Retrospective Study

Effect of Defecation Delay in Patients After Tricuspid Valve Replacement: A Retrospective Study

Abdominal Compartment Syndrome Secondary to Constipation in an Adult Patient With Cerebral Palsy

Acute Hydronephrosis Secondary to Methadone-Induced Constipation

Contact Info

Product

Resources

About