Skip to main content
SpringerLink
Log in

Normotensive ischemic acute kidney injury as a manifestation of intra-abdominal hypertension

  • Nephrology-Case Report
  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

Intra-abdominal hypertension (IAH), leading to abdominal compartment syndrome (ACS), is a frequent cause of acute kidney injury (AKI) in surgical and trauma intensive care units not commonly recognized by nephrologists. Multiple organ systems are often affected and frequently culminate in disastrous outcomes. The diagnosis of AKI as a manifestation of IAH requires a high index of clinical suspicion, especially, because laboratory and imaging studies are unreliable. Early recognition and treatment of the condition is associated with good clinical outcome. We report a typical case of normotensive ischemic AKI as a manifestation of IAH following abdominal surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

References

  1. Abuelo JG (2007) Normotensive ischemic acute renal failure. N Engl J Med 357:797–805

    Article  CAS  PubMed  Google Scholar 

  2. Joynt GM, Ramsay SJ, Buckley TA (2001) Intra-abdominal hypertension-implications for the intensive care physician. Ann Acad Med Singap 30(3):310–319

    CAS  PubMed  Google Scholar 

  3. Bertram P, Schachtrupp A, Rosch R, Schumacher O, Schumpelick V (2006) Abdominal compartment syndrome. Chirurg 77(7):573–4, 576–9

    Google Scholar 

  4. Malbrain MLNG et al (2005) Incidence and prognosis of intraabdominal hypertension in a mixed population of critically ill patients. A multiple-center epidemiological study. Crit Care Med 33(2):315–322

    Article  PubMed  Google Scholar 

  5. Thorington JM, Schmidt CF (1923) A study of urinary output and blood-pressure changes resulting in experimental ascites. Am J Med Sci 165:880–890

    Article  CAS  Google Scholar 

  6. Flores-Alvarez E, Avila-Cuevas GE, Rivera-Barragán V, López-Rodríguez JL, Reynoso-Talamantes D (2005) Early diagnosis and risk factors associated with abdominal compartment syndrome. Cir Cir 73(3):179–183

    PubMed  Google Scholar 

  7. Bloomfield GL, Ridings PC, Blocher CR, Marmarou A, Sugerman HJ (1997) A proposed relationship between increased intra-abdominal, intrathoracic, and intracranial pressure. Crit Care Med 25(3):496–503

    Article  CAS  PubMed  Google Scholar 

  8. Harman PK, Kron IL, McLachlan HD, Freedlender AE, Nolan SP (1982) Elevated intra-abdominal pressure and renal function. Ann Surg 196:594–597

    Article  CAS  PubMed  Google Scholar 

  9. Patel A, Lall CG, Jennings SG, Sandrasegaran K (2007) Abdominal compartment syndrome. Am J Roentgenol 189(5):1037–1043

    Article  Google Scholar 

  10. Reed SF, Britt RC, Collins J, Weireter L, Cole F, Britt LD (2006) Aggressive surveillance and early catheter-directed therapy in the management of intra-abdominal hypertension. J Trauma 61(6):1359–1365

    Article  PubMed  Google Scholar 

  11. Engum SA, Kogon B, Jensen E, Isch J, Balanoff C, Grosfeld JL (2002) Gastric tonometry and direct intraabdominal pressure monitoring in abdominal compartment syndrome. J Pediatr Surg 37(2):214–218

    Article  CAS  PubMed  Google Scholar 

  12. Ertel W, Oberholzer A, Platz A, Stocker R, Trentz O (2000) Incidence and clinical pattern of the abdominal compartment syndrome after “damage-control” laparotomy in 311 patients with severe abdominal and/or pelvic trauma. Crit Care Med 28(6):1747–1753

    Article  CAS  PubMed  Google Scholar 

  13. Ertel W, Trentz O (2001) The abdominal compartment syndrome. 100 years later—is it not time to acknowledge the syndrome?]. Unfallchirurg 104(7):560–568

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Nephrology, University of Florida, Gainesville, USA

    Vijaykumar Lingegowda, A. Ahsan Ejaz & Puneet Sood

Authors
  1. Vijaykumar Lingegowda
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Ahsan Ejaz
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Puneet Sood
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Vijaykumar Lingegowda.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lingegowda, V., Ejaz, A.A. & Sood, P. Normotensive ischemic acute kidney injury as a manifestation of intra-abdominal hypertension. Int Urol Nephrol 41, 1043–1045 (2009). https://doi.org/10.1007/s11255-008-9487-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11255-008-9487-8

Keywords

Search

Navigation