home : about us : ahead of print : current issue : archives search instructions : subscriptionLogin 
Users online: 1377      Small font sizeDefault font sizeIncrease font size Print this page Email this page
 CASE REPORT
Year : 2015  |  Volume : 10  |  Issue : 4  |  Page : 365-367

A rare case of abdominal compartment syndrome following repair of large myelomeningocele


1 Department of Neuroanaesthesiology, All Institute of Medical Sciences, New Delhi, India
2 Department of Neurosurgery, All Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Ashish Bindra
Department of Neuroanaesthesiology, All India Institute of Medical Sciences, New Delhi
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1817-1745.174459

Rights and Permissions

Abdominal compartment syndrome is a rare entity that can be life-threatening if not diagnosed and correctly managed in time. We report a case of abdominal compartment syndrome following an apparently uneventful excision and repair of myelomeningocele (MMC). Though MMC is the most complex congenital spinal cord malformation compatible with life and early surgery is recommended to decrease the risk of meningitis and sepsis but generally surgery is safe without major perioperative turbulence. The majority of the skin defects following excision of MMC are repaired by primary skin closure, but large defects may require secondary closure by skin grafts or rotational flaps. We report a case of an infant with large MMC, who developed abdominal compartment syndrome following excision and repair of the swelling. Intraoperatively, it manifested as bradycardia, hypotension, and ventilatory difficulty which were managed successfully. Subsequently, in the postoperative period, the presence of tight abdomen and fall in urine output raised strong suspicion regarding development of abdominal compartment syndrome. Condition of infant improved following the release of flap sutures. A high index of suspicion along with early management is imperative for a successful outcome in such cases.






[FULL TEXT] [PDF]*


        
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed953    
    Printed16    
    Emailed0    
    PDF Downloaded75    
    Comments [Add]    

Recommend this journal