Document Detail

Abdominal Compartment Syndrome complicating massive hemorrhage from an unusual presentation of ruptured ectopic pregnancy.
MedLine Citation:
PMID:  21912014     Owner:  NLM     Status:  In-Data-Review    
Abdominal Compartment Syndrome (ACS) is characterized by intra-abdominal hypertension (IAH), elevation and splinting of the diaphragm, high pleural pressure, and poor venous return to the heart, producing low cardiac output and shock which, in turn, results in poor venous return across the capillaries to set in a vicious cycle. Unless the Intra-abdominal pressure is reduced quickly by urgent surgical or medical interventions, death is inevitable. We report a case of ACS resulting from an unrecognized slow but massive intra-abdominal bleeding caused by a ruptured ectopic pregnancy (REP) in an Arab woman. Due to the unusual nature of the presentation of the REP, the diagnosis proved elusive for over a week until the patient succumbed to hypovolemic shock after losing about 4.2 l inside the peritoneal space. The fruitless effort at aggressive fluid resuscitation was at operation found not due to hypovolemia per se but due to IAH causing ACS. The lessons learned from this case emphasize the need for awareness about atypical presentations of REP and the need for quick intervention to terminate the vicious cycle of ACS.
Robert B Sanda; Rafeeqa Aziz; Abdulrazaque Bhutto; Salah I Seliem
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of African medicine     Volume:  10     ISSN:  0975-5764     ISO Abbreviation:  Ann Afr Med     Publication Date:    2011 Jul-Sep
Date Detail:
Created Date:  2011-09-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101231417     Medline TA:  Ann Afr Med     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  252-5     Citation Subset:  IM    
Department of Surgery, Hail General Hospital, Hail 81451, Saudi Arabia, .
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