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Lethal abdominal compartment syndrome after extracorporeal cardiopulmonary resuscitation in a patient with out-of-hospital cardiac arrest: a case report.

Authors :
Kim GJ
Lim KH
Oh TH
Lee HJ
Hwang D
Jung H
Source :
International journal of emergency medicine [Int J Emerg Med] 2023 Sep 26; Vol. 16 (1), pp. 61. Date of Electronic Publication: 2023 Sep 26.
Publication Year :
2023

Abstract

Background: Clinical attempts of extracorporeal cardiopulmonary resuscitation (ECPR) in patients with out-of-hospital cardiac arrest (OHCA) have increased in recent years; however, it also has life-threatening complications. Massive fluid and transfusion resuscitation, shock status, or low cardiac output status during ECPR may lead to ascites and interstitial edema, resulting in secondary abdominal compartment syndrome (ACS).<br />Case Presentation: A 43-year-old male patient was admitted to the emergency department due to cardiac arrest. Due to refractory ventricular fibrillation, ECPR was initiated. Approximately, 3 h after extracorporeal membrane oxygenation support, abdominal distension and rigidity developed. Therefore, ACS was suspected. Decompression laparotomy was required to relieve elevated intra-abdominal pressure.<br />Conclusions: We report a case of a patient with OHCA who developed lethal ACS after ECPR. Despite this, the patient was able to recover from several major crises. Regardless of how lethal the patient is, if compartment syndrome develops in any part of the body, we should aggressively consider surgical decompression.<br /> (© 2023. Springer-Verlag GmbH Germany, part of Springer Nature.)

Details

Language :
English
ISSN :
1865-1372
Volume :
16
Issue :
1
Database :
MEDLINE
Journal :
International journal of emergency medicine
Publication Type :
Academic Journal
Accession number :
37752435
Full Text :
https://doi.org/10.1186/s12245-023-00543-8