Nonsurgical Management of Abdominal Compartment Syndrome Using Transarterial Embolization and Percutaneous Catheter Drainage: A Case Report
Abdominal compartment syndrome (ACS) is a critical condition characterized by increased intra-abdominal pressure and, if left untreated, can cause organ dysfunction and multiorgan failure. We present a case of an elderly man who developed ACS secondary to hemoperitoneum from a splenic artery lacerat...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-08-01
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| Series: | Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2542454825000554 |
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| author | Subhash Chander, MBBS, MPH Marco A. Bracamonte, MD Newton B. Neidert, MD Samuel I. Garcia, MD |
| author_facet | Subhash Chander, MBBS, MPH Marco A. Bracamonte, MD Newton B. Neidert, MD Samuel I. Garcia, MD |
| author_sort | Subhash Chander, MBBS, MPH |
| collection | DOAJ |
| description | Abdominal compartment syndrome (ACS) is a critical condition characterized by increased intra-abdominal pressure and, if left untreated, can cause organ dysfunction and multiorgan failure. We present a case of an elderly man who developed ACS secondary to hemoperitoneum from a splenic artery laceration after multiple falls. Despite successful arterial embolization, the patients’ ACS worsened considerably. Given his high surgical risk and advanced age, percutaneous catheter drainage was performed. The procedure was uneventful and led to the resolution of the ACS. This case highlights the importance of early recognition and close monitoring of intra-abdominal pressure and the utility of minimally invasive strategies for managing ACS in patients with high-surgical risk. |
| format | Article |
| id | doaj-art-0f87f581ff4b46ceadea093f27c2dbd5 |
| institution | Kabale University |
| issn | 2542-4548 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| spelling | doaj-art-0f87f581ff4b46ceadea093f27c2dbd52025-08-20T03:51:08ZengElsevierMayo Clinic Proceedings: Innovations, Quality & Outcomes2542-45482025-08-019410064410.1016/j.mayocpiqo.2025.100644Nonsurgical Management of Abdominal Compartment Syndrome Using Transarterial Embolization and Percutaneous Catheter Drainage: A Case ReportSubhash Chander, MBBS, MPH0Marco A. Bracamonte, MD1Newton B. Neidert, MD2Samuel I. Garcia, MD3Division of Pulmonary and Critical Care and Sleep Medicine, Mayo Clinic College of Medicine and Sciences, Rochester, MN; Correspondence: Address to Subhash Chander, MBBS, MPH, Department of Pulmonary and Critical Care and Sleep Medicine, Mayo Clinic College of Medicine and Science, 200 1st St SW, Rochester MN 55901.Department of Emergency Medicine, Mayo Clinic College of Medicine and Sciences, Rochester, MNDepartment of Radiology, Mayo Clinic College of Medicine and Sciences, Rochester, MNDivision of Pulmonary and Critical Care and Sleep Medicine, Mayo Clinic College of Medicine and Sciences, Rochester, MN; Department of Emergency Medicine, Mayo Clinic College of Medicine and Sciences, Rochester, MNAbdominal compartment syndrome (ACS) is a critical condition characterized by increased intra-abdominal pressure and, if left untreated, can cause organ dysfunction and multiorgan failure. We present a case of an elderly man who developed ACS secondary to hemoperitoneum from a splenic artery laceration after multiple falls. Despite successful arterial embolization, the patients’ ACS worsened considerably. Given his high surgical risk and advanced age, percutaneous catheter drainage was performed. The procedure was uneventful and led to the resolution of the ACS. This case highlights the importance of early recognition and close monitoring of intra-abdominal pressure and the utility of minimally invasive strategies for managing ACS in patients with high-surgical risk.http://www.sciencedirect.com/science/article/pii/S2542454825000554 |
| spellingShingle | Subhash Chander, MBBS, MPH Marco A. Bracamonte, MD Newton B. Neidert, MD Samuel I. Garcia, MD Nonsurgical Management of Abdominal Compartment Syndrome Using Transarterial Embolization and Percutaneous Catheter Drainage: A Case Report Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| title | Nonsurgical Management of Abdominal Compartment Syndrome Using Transarterial Embolization and Percutaneous Catheter Drainage: A Case Report |
| title_full | Nonsurgical Management of Abdominal Compartment Syndrome Using Transarterial Embolization and Percutaneous Catheter Drainage: A Case Report |
| title_fullStr | Nonsurgical Management of Abdominal Compartment Syndrome Using Transarterial Embolization and Percutaneous Catheter Drainage: A Case Report |
| title_full_unstemmed | Nonsurgical Management of Abdominal Compartment Syndrome Using Transarterial Embolization and Percutaneous Catheter Drainage: A Case Report |
| title_short | Nonsurgical Management of Abdominal Compartment Syndrome Using Transarterial Embolization and Percutaneous Catheter Drainage: A Case Report |
| title_sort | nonsurgical management of abdominal compartment syndrome using transarterial embolization and percutaneous catheter drainage a case report |
| url | http://www.sciencedirect.com/science/article/pii/S2542454825000554 |
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