Abdominal compartment syndrome is an early, lethal complication of acute pancreatitis.

摘要: Data defining the optimal management of abdominal compartment syndrome resulting from acute pancreatitis are lacking. We investigated outcomes patients with who underwent surgery for treatment at a tertiary referral center. An electronic database was searched to identify laparotomy between January 1, 2000, and December 31, 2009, syndrome. Twelve decompressive The median interval onset 4.5 days. Nine within seven days pancreatitis. As result cardiopulmonary instability, four laparotomies were performed in intensive care unit. In 11 patients, improvement observed. Statistically significant improvements seen across multiple physiologic parameters. Despite this initial improvement, six (50%) died multisystem organ failure. Two survived without need pancreatic debridement. Abdominal is an uncommon but likely underrecognized highly lethal complication that should be considered become critically ill early course their Prompt recognition may rescue some these does not mandate future