abdominal compartment syndrome
Jump to navigation
Jump to search
Etiology
Pathology
- intra-abdominal or intravesicular (bladder) pressure > 20 mm Hg
- new-onset organ system failure, including oliguric acute renal failure from renal artery vasocontriction &/or renal vein compression[1]
Laboratory
- urine sodium may be low
- fractional excretion of sodium may be > 1% due to renal injury despite prerenal origin in increased abdominal pressure
Diagnostic procedures
- bladder catheterization to measure intravesicular pressure[1]
Management
- surgical (laparoscopic) decompression of the abdomen may improve renal function
- large volume paracentesis if due to massive ascites[5]
More general terms
References
- ↑ 1.0 1.1 1.2 1.3 Medical Knowledge Self Assessment Program (MKSAP) 15, 16, 17, 18, 19. American College of Physicians, Philadelphia 2009, 2013, 2015, 2018, 2021.
- ↑ De Waele JJ, De Laet I, Kirkpatrick AW, Hoste E. Intra-abdominal Hypertension and Abdominal Compartment Syndrome. Am J Kidney Dis. 2011 Jan;57(1):159-69. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21184922
- ↑ Mohmand H, Goldfarb S. Renal dysfunction associated with intra-abdominal hypertension and the abdominal compartment syndrome. J Am Soc Nephrol. 2011 Apr;22(4):615-21. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21310818 Free Article
- ↑ Patel DM, Connor MJ Jr. Intra-Abdominal Hypertension and Abdominal Compartment Syndrome: An Underappreciated Cause of Acute Kidney Injury. Adv Chronic Kidney Dis. 2016 May;23(3):160-6. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/27113692
- ↑ 5.0 5.1 NEJM Knowledge+ Nephrology/Urology