Decompressive Abdominal Laparotomy for Abdominal Compartment Syndrome in an Unengrafted Bone Marrow Recipient with Septic Shock
Joint Authors
Barnett, Sean J.
Frischer, Jason S.
Dauplaise, Derrick J. N.
Wong, Hector R.
Source
Critical Care Research and Practice
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-06-23
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Objective.
To describe a profoundly immunocompromised (panleukopenia) child with septic shock who developed abdominal compartment syndrome (ACS) and was successfully treated with surgical decompression.
Design.
Individual case report.
Setting.
Pediatric intensive care unit of a tertiary children's hospital.
Patient.
A 32-month-old male with Fanconi anemia who underwent bone marrow transplantation (BMT) 5 days prior to developing septic shock secondary to Streptococcus viridans and Escherichia coli ACS developed after massive fluid resuscitation, leading to cardiopulmonary instability.
Interventions.
Emergent surgical bedside laparotomy and silo placement.
Measurements and Main Results.
The patient's cardiopulmonary status stabilized after decompressive laparotomy.
The abdomen was closed and the patient survived to hospital discharge without cardiac, respiratory, or renal dysfunction.
Conclusions.
The use of laparotomy and silo placement in an unengrafted BMT patient with ACS and septic shock did not result in additional complications.
Surgical intervention for ACS is a reasonable option for high risk, profoundly immunocompromised patients.
American Psychological Association (APA)
Dauplaise, Derrick J. N.& Barnett, Sean J.& Frischer, Jason S.& Wong, Hector R.. 2010. Decompressive Abdominal Laparotomy for Abdominal Compartment Syndrome in an Unengrafted Bone Marrow Recipient with Septic Shock. Critical Care Research and Practice،Vol. 2010, no. 2010, pp.1-5.
https://search.emarefa.net/detail/BIM-446519
Modern Language Association (MLA)
Dauplaise, Derrick J. N.…[et al.]. Decompressive Abdominal Laparotomy for Abdominal Compartment Syndrome in an Unengrafted Bone Marrow Recipient with Septic Shock. Critical Care Research and Practice No. 2010 (2010), pp.1-5.
https://search.emarefa.net/detail/BIM-446519
American Medical Association (AMA)
Dauplaise, Derrick J. N.& Barnett, Sean J.& Frischer, Jason S.& Wong, Hector R.. Decompressive Abdominal Laparotomy for Abdominal Compartment Syndrome in an Unengrafted Bone Marrow Recipient with Septic Shock. Critical Care Research and Practice. 2010. Vol. 2010, no. 2010, pp.1-5.
https://search.emarefa.net/detail/BIM-446519
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-446519