1. Abdominal compartment syndrome after endoscopic combined intrarenal surgery
- Author
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Shuhei Okada, Takuro Saito, Yasushi Ichimura, and Masahiro Iinuma
- Subjects
abdominal compartment syndrome ,endoscopic combined intrarenal surgery ,hydroperitoneum ,percutaneous nephrolithotripsy ,staghorn calculus ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Introduction We report a case of abdominal compartment syndrome due to hydroperitoneum after endoscopic combined intrarenal surgery. Case presentation A 56‐year‐old woman with a left staghorn calculus underwent endoscopic combined intrarenal surgery as a two‐staged procedure and developed a distended abdomen, cyanosis of both legs, and hypotension immediately after the second operation. A computed tomography scan showed hydroperitoneum. We performed urgent laparotomy and evacuated approximately 2 L of nearly transparent fluid. No peritoneal injury was detected. Postoperatively, she required intensive care for shocked liver and acute kidney injury. Conclusion Hydroperitoneum after endoscopic combined intrarenal surgery is a rare complication and may lead to abdominal compartment syndrome or a condition where intra‐abdominal pressure exceeds 20 mmHg, causing impaired organ perfusion. Delayed drainage can be fatal.
- Published
- 2023
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