Abdominal Compartment Syndrome Secondary to Chronic Constipation
Abdominal compartment syndrome (ACS) is defined as an elevated intraabdominal pressure with evidence of organ dysfunction. The majority of published reports of ACS are in neonates with abdominal wall defects and in adults following trauma or burns, but it is poorly described in children. We describe...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2011/562730 |
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| author | Helene Flageole Jodie Ouahed J. Mark Walton Yasmin Yousef |
| author_facet | Helene Flageole Jodie Ouahed J. Mark Walton Yasmin Yousef |
| author_sort | Helene Flageole |
| collection | DOAJ |
| description | Abdominal compartment syndrome (ACS) is defined as an elevated intraabdominal pressure with evidence of organ dysfunction. The majority of published reports of ACS are in neonates with abdominal wall defects and in adults following trauma or burns, but it is poorly described in children. We describe the unusual presentation of an 11-year-old boy with a long history of chronic constipation who developed acute ACS requiring resuscitative measures and emergent disimpaction. He presented with a 2-week history of increasing abdominal pain, nausea, diminished appetite and longstanding encopresis. On exam, he was emaciated with a massively distended abdomen with a palpable fecaloma. Abdominal XR confirmed these findings. Within 24 hours of presentation, he became tachycardic and oliguric with orthostatic hypotension. Following two enemas, he acutely deteriorated with severe hypotension, marked tachycardia, acute respiratory distress, and a declining mental status. Endotracheal intubation, fluid boluses, and vasopressors were commenced, followed by emergent surgical fecal disimpaction. This resulted in rapid improvement in vital signs. He has been thoroughly investigated and no other condition apart from functional constipation has been identified. Although ACS secondary to constipation is extremely unusual, this case illustrates the need to actively treat constipation and what can happen if it is not. |
| format | Article |
| id | doaj-art-bcf616dfb4f4456cab04c7426581280c |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-bcf616dfb4f4456cab04c7426581280c2025-02-03T01:00:58ZengWileyCase Reports in Pediatrics2090-68032090-68112011-01-01201110.1155/2011/562730562730Abdominal Compartment Syndrome Secondary to Chronic ConstipationHelene Flageole0Jodie Ouahed1J. Mark Walton2Yasmin Yousef3Department of Pediatric Surgery, McMaster Children’s Hospital, Hamilton, ON, L8N 3Z5, CanadaDepartment of Pediatrics, McMaster Children’s Hospital, Hamilton, ON, L8N 3Z5, CanadaDepartment of Pediatric Surgery, McMaster Children’s Hospital, Hamilton, ON, L8N 3Z5, CanadaDepartment of Pediatric Surgery, McMaster Children’s Hospital, Hamilton, ON, L8N 3Z5, CanadaAbdominal compartment syndrome (ACS) is defined as an elevated intraabdominal pressure with evidence of organ dysfunction. The majority of published reports of ACS are in neonates with abdominal wall defects and in adults following trauma or burns, but it is poorly described in children. We describe the unusual presentation of an 11-year-old boy with a long history of chronic constipation who developed acute ACS requiring resuscitative measures and emergent disimpaction. He presented with a 2-week history of increasing abdominal pain, nausea, diminished appetite and longstanding encopresis. On exam, he was emaciated with a massively distended abdomen with a palpable fecaloma. Abdominal XR confirmed these findings. Within 24 hours of presentation, he became tachycardic and oliguric with orthostatic hypotension. Following two enemas, he acutely deteriorated with severe hypotension, marked tachycardia, acute respiratory distress, and a declining mental status. Endotracheal intubation, fluid boluses, and vasopressors were commenced, followed by emergent surgical fecal disimpaction. This resulted in rapid improvement in vital signs. He has been thoroughly investigated and no other condition apart from functional constipation has been identified. Although ACS secondary to constipation is extremely unusual, this case illustrates the need to actively treat constipation and what can happen if it is not.http://dx.doi.org/10.1155/2011/562730 |
| spellingShingle | Helene Flageole Jodie Ouahed J. Mark Walton Yasmin Yousef Abdominal Compartment Syndrome Secondary to Chronic Constipation Case Reports in Pediatrics |
| title | Abdominal Compartment Syndrome Secondary to Chronic Constipation |
| title_full | Abdominal Compartment Syndrome Secondary to Chronic Constipation |
| title_fullStr | Abdominal Compartment Syndrome Secondary to Chronic Constipation |
| title_full_unstemmed | Abdominal Compartment Syndrome Secondary to Chronic Constipation |
| title_short | Abdominal Compartment Syndrome Secondary to Chronic Constipation |
| title_sort | abdominal compartment syndrome secondary to chronic constipation |
| url | http://dx.doi.org/10.1155/2011/562730 |
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