alexa Abdominal Compartment Syndrome–Severe Complication of Giant Abdominal Tumor: Case Report and Literature Review
[Jurnalul de Chirurgie]
ISSN: 1584-9341

Journal of Surgery
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Case Report

Abdominal Compartment Syndrome–Severe Complication of Giant Abdominal Tumor: Case Report and Literature Review

Mircea Mureșan1, Simona Mureșan2*, Daniela Sala1, Miana Gliga1, Ioana Halmaciu3, Klara Brînzaniuc3, Popescu Gabriel1 and Radu Mircea Neagoe1

12nd Surgical Unit, Department of Surgery, University of Medicine and Pharmacy Târgu Mureș, Romania

2Department of Physiology, University of Medicine and Pharmacy Târgu Mureș, Romania

3Department of Anatomy, University of Medicine and Pharmacy Târgu Mureș, Romania

*Corresponding Author:
Simona Mureșan
Department of Physiology
University of Medicine and Pharmacy Târgu Mureș
Str Gh. Marinescu, No 38540139 Târgu Mureș, Romania
Tel: +40 (0) 747 29 15 91
Fax: +40 (0) 265 21 04 07
E-mail: [email protected]

Received Date: April 13, 2016; Accepted Date: May 23, 2016; Published Date: May 29, 2016

Citation: Mureșan M, Mureșan S, Sala D, Gliga M, Halmaciu I, et al. Abdominal Compartment Syndrome–Severe Complication of Giant Abdominal Tumor: Case Report and Literature Review. Journal of Surgery [Jurnalul de chirurgie]. 2016; 12(2):83-85 DOI:10.7438/1584-9341-12-2-9 [article in Romanian]

Copyright: © 2016 Mureșan M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Introduction: Giant abdominal tumors, as a result of volume mass and dimensions , even benign being, can develop serious complications. The differential diagnosis includes cystic or solid disorders of the female genitals, ascites, cysts or hydronephrosis, pancreatic cysts or pseudocysts, gastrointestinal stromal tumors. Case presentation: A 44 years old patient, was hospitalized for an giant abdominal tumor formation, pain, weight loss, nausea and vomiting. Laboratory data show changes in the sense of acute renal failure. Ultrasound examination reveals layout of carcinomatous ascites and native CT scanning, a giant cyst, without being able to specify their organ affiliation. The central venous pressure monitoring showed low values (less then 1 cm water), and intra-abdominal pressure, measured indirectly using the urinary catheter, revealed an increased value (25 mmHg). Patient undergone a midline laparotomy and it was found a giant cyst developed from from the left ovary. It was performed cystectomy associated with hysterectomy and controlateral ovariectomyl. The postoperative course was favorable and the patient discharged on day 6. Histopathology confirmed a mucinous cystadenoma Conclusion: Abdominal compartment syndrome is a severe complication of giant abdominal tumors, which must be solved immediatly by medical therapy and/or surgery. Choosing the type of surgery (open or laparoscopic) depends on tumor size and the possibility and establishing the preoperative histopathological diagnosis.

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