Title |
Acute renal failure due to abdominal compartment syndrome: report on four cases and literature review
|
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Published in |
Clinics, November 2001
|
DOI | 10.1590/s0041-87812001000400006 |
Pubmed ID | |
Authors |
Roberto de Cleva, Fabiano Pinheiro da Silva, Bruno Zilberstein, David J B Machado |
Abstract |
We report on 4 cases of abdominal compartment syndrome complicated by acute renal failure that were promptly reversed by different abdominal decompression methods. Case 1: A 57-year-old obese woman in the post-operative period after giant incisional hernia correction with an intra-abdominal pressure of 24 mm Hg. She was sedated and curarized, and the intra-abdominal pressure fell to 15 mm Hg. Case 2: A 73-year-old woman with acute inflammatory abdomen was undergoing exploratory laparotomy when a hypertensive pneumoperitoneum was noticed. During the surgery, enhancement of urinary output was observed. Case 3: An 18-year-old man who underwent hepatectomy and developed coagulopathy and hepatic bleeding that required abdominal packing, developed oliguria with a transvesical intra-abdominal pressure of 22 mm Hg. During reoperation, the compresses were removed with a prompt improvement in urinary flow. Case 4: A 46-year-old man with hepatic cirrhosis was admitted after incisional hernia repair with intra-abdominal pressure of 16 mm Hg. After paracentesis, the intra-abdominal pressure fell to 11 mm Hg. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 1 | 3% |
Brazil | 1 | 3% |
Unknown | 31 | 94% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Postgraduate | 5 | 15% |
Student > Master | 5 | 15% |
Student > Doctoral Student | 4 | 12% |
Student > Ph. D. Student | 4 | 12% |
Professor | 3 | 9% |
Other | 7 | 21% |
Unknown | 5 | 15% |
Readers by discipline | Count | As % |
---|---|---|
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Agricultural and Biological Sciences | 3 | 9% |
Veterinary Science and Veterinary Medicine | 2 | 6% |
Nursing and Health Professions | 1 | 3% |
Unknown | 6 | 18% |