Abdominal Compartment Syndrome: diagnostic evaluation and possible treatment

doi: 10.7417/CT.2020.2206

  • A. Maffongelli Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo
  • S. Fazzotta Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo
  • V. D. Palumbo Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo - Euro-Mediterranean Institute of Science and Technology (IEMEST), Palermo, Italy
  • G. Damiano Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo
  • S. Buscemi Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo
  • C. Maione Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo
  • A. I. Lo Monte Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo

Abstract

Background
Abdominal compartment syndrome (ACS) is a clinical condition caused by an increase in intra-abdominal pressure. The incidence is variable, based on the type of patients taken into consideration, increasing exponentially in critical conditions, such as traumatized, burned patients in shock. The syndrome can also follow surgical procedures like transplantation of abdominal organs, for example configuring rare pictures such as RACS (post-transplant kidney syndrome).


In most cases the symptoms are non-specific and varied according to the different etiology of the ACS, therefore the diagnosis may not be immediate.


Aim
the aim of this work is to evaluate the best therapeutic approach based on the evidence in the literature.


Results
An early diagnosis, which can also identify the stages of intra-abdominal hypertension, is necessary to ensure the survival of the patient, implementing an integrated multidisciplinary treatment, expecially in the early stages of the development of the ACS.


Conclusions
The definitive treatment is surgical and is based on the decompression of the abdomen

Published
2020-03-05
How to Cite
MAFFONGELLI, A. et al. Abdominal Compartment Syndrome: diagnostic evaluation and possible treatment. La Clinica Terapeutica, [S.l.], v. 2, n. 171, p. e156 - e160, mar. 2020. ISSN 1972-6007. Available at: <http://www.clinicaterapeutica.it/ojs/index.php/ClinicaTerapeutica/article/view/604>. Date accessed: 04 apr. 2020.

Most read articles by the same author(s)