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Suspected abdominal compartment syndrome during endoscopic diskectomy - A case report -
Anesth Pain Med 2018;13(3):319-22
Published online July 31, 2018
© 2018 The Korean Society of Anesthesiologists.

Jihyoung Park, Hyun Kyo Lim, June Ho Choi, Woo Jin Choi, Jaemoon Lee, and Kwang Ho Lee
Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
Correspondence to: Kwang Ho Lee, M.D. Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine, 20 Ilsanro, Wonju 26426, Korea Tel: 82-33-741-1526 Fax: 82-33-742-8198 E-mail: khlee6006@yonsei.ac.kr ORCID http://orcid.org/0000-0002-1641-1301
Received October 12, 2017; Revised December 28, 2017; Accepted December 31, 2017.
cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Abdominal compartment syndrome can produce a critical situation if not diagnosed early and managed properly. We report a case of abdominal compartment syndrome that was caused by massive irrigation of surgical fluid during endoscopic lumbar diskectomy at the L4–L5 level. There was a sudden increase in peak inspiratory pressure during the operation, and the patient’s tidal volume and blood pressure decreased. When the patient’s position was changed from prone to supine, abdominal distension and cyanosis of both lower extremities were discovered. Ultrasonic findings showed fluid collection in both the chest and intra-abdominal cavity. Thoracentesis and abdominal decompression surgery were performed, and the patient’s overall state improved. We concluded that irrigation fluid used during the endoscopic operation leaked into the retroperitoneal space and caused abdominal compartment syndrome.
Key Words : Abdominal compartment syndrome, Diskectomy, Endoscopy.


July 2018, 13 (3)
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