Management of intraabdominal hypertension by percutaneous catheter drainage

J Vasc Interv Radiol. 2005 Jul;16(7):1019-21. doi: 10.1097/01.RVI.0000157781.67279.72.

Abstract

The authors report a case of an 18-year-old man with T-cell acute lymphocytic leukemia who developed hemorrhagic pancreatitis after chemotherapy. He subsequently developed abdominal compartment syndrome (ACS). Computed tomography showed a large fluid-filled mass in the area of the pancreas. As a result of the instability of his condition, surgical decompression, the standard therapy for ACS, was believed to carry significant morbidity and potential mortality. The patient underwent ultrasound-guided drainage of the peripancreatic fluid, which decreased his abdominal pressures and improved his clinical status. Without this procedure, the patient may not have tolerated subsequent surgery.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Cavity*
  • Acute Disease
  • Adolescent
  • Catheterization / methods*
  • Compartment Syndromes / therapy*
  • Hemorrhage / complications
  • Humans
  • Leukemia-Lymphoma, Adult T-Cell / complications
  • Male
  • Pancreatitis / complications
  • Ultrasonics
  • Ultrasonography