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Abdominal compartment syndrome and intrahepatic portal venous gas: a possible complication of endoscopy

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Abstract

Objective. We report the first patient to developed abdominal compartment syndrome (ACS) with intrahepatic portal venous gas (IHPVG) and pneumatosis cystoides intestinalis following emergency upper gastrointestinal endoscopy.

Case presentation. A 53-year-old man underwent an emergency upper gastrointestinal endoscopy for suspicion of upper gastrointestinal bleeding. The patient developed intra-abdominal hypertension and ACS associated with IHPVG after the endoscopy. Although the patient developed severe shock following ACS, he was managed conservatively and successfully recovered.

Conclusions. An emergency upper gastrointestinal endoscopy may be associated with intra-abdominal hypertension and ACS. Our report provides an additional case of a survivor who required no surgical intervention for ACS and IHPVG following endoscopy.

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Authors and Affiliations

  1. Department of Emergency and Critical Care Medicine, Sapporo City General Hospital, N11 W13, Chuou-Ku, Sapporo, 060-8604 Japan, , , , ,

    Mineji Hayakawa

  2. Department of Anesthesiology and Critical Care Medicine, Hokkaido University School of Medicine, N17 W5, Kita-ku, Sapporo, 060-8648 Japan, , , , ,

    Satoshi Gando, Takashi Kameue, Yuji Morimoto & Osamu Kemmotsu

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  1. Mineji Hayakawa
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  2. Satoshi Gando
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  3. Takashi Kameue
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  4. Yuji Morimoto
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  5. Osamu Kemmotsu
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Hayakawa, M., Gando, S., Kameue, T. et al. Abdominal compartment syndrome and intrahepatic portal venous gas: a possible complication of endoscopy. Intensive Care Med 28, 1680–1681 (2002). https://doi.org/10.1007/s00134-002-1492-2

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  • DOI: https://doi.org/10.1007/s00134-002-1492-2

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