Abdominal Compartment Syndrome after Laparoscopic Salpingectomy for Ectopic Pregnancy

Sofia Soltsman, Pablo Russo, Anatoly Greenshpun, Moshe Ben-Ami

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Abdominal compartment syndrome is a consequence of increased intraabdominal pressure. It can be triggered by inflammation, hemorrhage, chemical peritonitis, or prolonged insufflations during laparoscopy. It is a well-known phenomenon for intensive care specialists, but gynecologists are relatively unfamiliar with its occurrence. A woman with heterotopic pregnancy underwent urgent laparoscopy because of abdominal hemorrhage. The postoperative course was complicated by abdominal pain, ascites, bowel dysfunction, and renal failure, which resolved rapidly after catheterization and paracentesis. In this case, abdominal compartment syndrome developed after unremarkable laparoscopy, and appeared to be triggered by change of progesterone formulation. Decompression by paracentesis was lifesaving, and led to rapid resolution of the symptoms.

Original languageEnglish
Pages (from-to)508-510
Number of pages3
JournalJournal of Minimally Invasive Gynecology
Volume15
Issue number4
DOIs
StatePublished - Jul 2008
Externally publishedYes

Keywords

  • Abdominal compartment syndrome
  • Heterotopic pregnancy
  • Paracentesis
  • Progesterone in oil
  • Renal failure

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