A Case Report of Contrasting Pre- and Post-Emergency Percutaneous Catheter Drainage CT Images in Patients Having Trauma with Severe Abdominal Compartment Syndrome: A Valuable Tool for Identifying Hemorrhage Sources
Abdominal compartment syndrome (ACS) is a life-threatening condition that rarely occurs in patients with severe abdominal trauma. Increased intra-abdominal pressure, often owing to hemoperitoneum, can reduce the mesenteric blood flow, making it challenging to evaluate the bleeding focus in multi-...
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2025-03-01
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| Series: | Journal of the Korean Society of Radiology |
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| Online Access: | https://doi.org/10.3348/jksr.2024.0071 |
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| author | Jee Yea Im Sang Hyun Seo |
| author_facet | Jee Yea Im Sang Hyun Seo |
| author_sort | Jee Yea Im |
| collection | DOAJ |
| description | Abdominal compartment syndrome (ACS) is a life-threatening condition that rarely occurs in
patients with severe abdominal trauma. Increased intra-abdominal pressure, often owing to
hemoperitoneum, can reduce the mesenteric blood flow, making it challenging to evaluate
the bleeding focus in multi-detector CT. Herein, we report a case of severe ACS after abdominal
trauma. The initial CT scan showed hemoperitoneum but the source of active bleeding
could not be identified. Percutaneous catheter drainage (PCD) was promptly performed to
reduce the intra-abdominal pressure. Additional CT scans confirmed the bleeding source to
be the superior mesenteric vein. The patient presented CT findings of primary ACS, and we
evaluated the pre- and post-ACS imaging changes after PCD on abdominal CT. Accurate and
timely recognition of the characteristic CT signs of ACS and shock bowel as well as precise
interventional treatment are important skills for radiologists, particularly in cases of severe
trauma and hypovolemia. |
| format | Article |
| id | doaj-art-7b18ce2a03504932bdbb776f5d99c5aa |
| institution | DOAJ |
| issn | 2951-0805 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | Journal of the Korean Society of Radiology |
| spelling | doaj-art-7b18ce2a03504932bdbb776f5d99c5aa2025-08-20T03:06:32ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052025-03-01862284290A Case Report of Contrasting Pre- and Post-Emergency Percutaneous Catheter Drainage CT Images in Patients Having Trauma with Severe Abdominal Compartment Syndrome: A Valuable Tool for Identifying Hemorrhage SourcesJee Yea ImSang Hyun SeoAbdominal compartment syndrome (ACS) is a life-threatening condition that rarely occurs in patients with severe abdominal trauma. Increased intra-abdominal pressure, often owing to hemoperitoneum, can reduce the mesenteric blood flow, making it challenging to evaluate the bleeding focus in multi-detector CT. Herein, we report a case of severe ACS after abdominal trauma. The initial CT scan showed hemoperitoneum but the source of active bleeding could not be identified. Percutaneous catheter drainage (PCD) was promptly performed to reduce the intra-abdominal pressure. Additional CT scans confirmed the bleeding source to be the superior mesenteric vein. The patient presented CT findings of primary ACS, and we evaluated the pre- and post-ACS imaging changes after PCD on abdominal CT. Accurate and timely recognition of the characteristic CT signs of ACS and shock bowel as well as precise interventional treatment are important skills for radiologists, particularly in cases of severe trauma and hypovolemia.https://doi.org/10.3348/jksr.2024.0071abdominal compartment syndromeintra-abdominal hypertensionshock bowel syndromepercutaneous drainageabdominal trauma |
| spellingShingle | Jee Yea Im Sang Hyun Seo A Case Report of Contrasting Pre- and Post-Emergency Percutaneous Catheter Drainage CT Images in Patients Having Trauma with Severe Abdominal Compartment Syndrome: A Valuable Tool for Identifying Hemorrhage Sources Journal of the Korean Society of Radiology abdominal compartment syndrome intra-abdominal hypertension shock bowel syndrome percutaneous drainage abdominal trauma |
| title | A Case Report of Contrasting Pre- and Post-Emergency Percutaneous Catheter Drainage CT Images in Patients Having Trauma with Severe Abdominal Compartment Syndrome: A Valuable Tool for Identifying Hemorrhage Sources |
| title_full | A Case Report of Contrasting Pre- and Post-Emergency Percutaneous Catheter Drainage CT Images in Patients Having Trauma with Severe Abdominal Compartment Syndrome: A Valuable Tool for Identifying Hemorrhage Sources |
| title_fullStr | A Case Report of Contrasting Pre- and Post-Emergency Percutaneous Catheter Drainage CT Images in Patients Having Trauma with Severe Abdominal Compartment Syndrome: A Valuable Tool for Identifying Hemorrhage Sources |
| title_full_unstemmed | A Case Report of Contrasting Pre- and Post-Emergency Percutaneous Catheter Drainage CT Images in Patients Having Trauma with Severe Abdominal Compartment Syndrome: A Valuable Tool for Identifying Hemorrhage Sources |
| title_short | A Case Report of Contrasting Pre- and Post-Emergency Percutaneous Catheter Drainage CT Images in Patients Having Trauma with Severe Abdominal Compartment Syndrome: A Valuable Tool for Identifying Hemorrhage Sources |
| title_sort | case report of contrasting pre and post emergency percutaneous catheter drainage ct images in patients having trauma with severe abdominal compartment syndrome a valuable tool for identifying hemorrhage sources |
| topic | abdominal compartment syndrome intra-abdominal hypertension shock bowel syndrome percutaneous drainage abdominal trauma |
| url | https://doi.org/10.3348/jksr.2024.0071 |
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