선천거대결장증이 늦게 발현한 10세 남자에서 발생한 복강구획증후군
Abdominal compartment syndrome in a 10-year-old boy with delayed presentation of congenital aganglionic megacolon
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Abdominal compartment syndrome (ACS) involves adverse physiologic consequences arising from the increased intraabdominal pressure, leading to high mortality. However, this syndrome has been scarcely reported in pediatric emergency settings. We describe a 10-year-old boy with ACS presenting with painful abdominal distension, oliguria, and dyspnea. Despite the absence of known congenital anomalies, he had undergone frequent episodes of constipation since 5 years of age, and had not defecated for recent 2 months. With computed tomography scans showing the entire colorectal distension, his manifestations were considered to have stemmed from congenital aganglionic megacolon, which had gone undetected. This case underlines the needs for considering ACS and consequent surgical decompression in a child with severe abdominal distension.
Abstract
Abdominal compartment syndrome (ACS) involves adverse physiologic consequences arising from the increased intraabdominal pressure, leading to high mortality. However, this syndrome has been scarcely reported in pediatric emergency settings. We describe a 10-year-old boy with ACS presenting with painful abdominal distension, oliguria, and dyspnea. Despite the absence of known congenital anomalies, he had undergone frequent episodes of constipation since 5 years of age, and had not defecated for recent 2 months. With computed tomography scans showing the entire colorectal distension, his manifestations were considered to have stemmed from congenital aganglionic megacolon, which had gone undetected. This case underlines the needs for considering ACS and consequent surgical decompression in a child with severe abdominal distension.
참고문헌 (11)
- Thabet FC, "Intra-abdominal hypertension and abdominal compartment syndrome in pediatrics. A review", J Crit Care, 41, pp.275~282 (2017)
- Birkhahn BH, "Abdominal compartment syndrome in a patient with congenital megacolon", Pediatr Emerg Care, 16, pp.176~178 (2000)
- DeCou JM, "Abdominal compartment syndrome in children : Experience with three cases", J Pediatr Surg, 35, pp.840~842 (2000)
- Hecker A, "Acute abdominal compartment syndrome : current diagnostic and therapeutic options", Langenbecks Arch Surg, 401, pp.15~24 (2016)
- Balogh ZJ, "Resuscitation in intra-abdominal hypertension and abdominal compartment syndrome", Am Surg, 77(Suppl 1), pp.S31~S33 (2011)
- Cheatham ML, "Abdominal compartment syndrome : pathophysiology and definitions", Scand J Trauma Resusc Emerg Med, 17, pp.10~ (2009)
- Kirkpatrick AW, "Intra-abdominal hypertension and the abdominal compartment syndrome : updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome", Intensive Care Med, 39, pp.1190~1206 (2013)
- Stassen NA, "Abdominal compartment syndrome", Scand J Surg, 91, pp.104~108 (2002)
- Kron IL, "The measurement of intraabdominal pressure as a criterion for abdominal re-exploration", Ann Surg, 199, pp.28~30 (1984)
- Kyoung KH, "The duration of intra-abdominal hypertension strongly predicts outcomes for the critically ill surgical patients : a prospective observational study", World J Emerg Surg, 10, pp.22~ (2015)
- Je BK, "Abdominal compartment syndrome in children : clinical and imaging features", AJR Am J Roentgenol, 212, pp.655~664 (2019)