Abdominal compartment syndrome due to a giant multilobulated ovarian serous cystadenoma.Case report and review of the literature
Domenico Merlicco 1, Gerardo Roggia 1, Massimo Lombardi 1, Lucia Lattanzio 1, Rinaldo Marzaioli 1, Michele Nacchiero 1
Affiliation
Article Info
1 Department for the Application in Surgery of Innovative Technologies, University of Bari Medical School, Bari, Italy General Surgery Unit, Lucera Hospital, ASL, Foggia, Italy
Abstract
The Authors report a case of abdominal compartment syndrome due to a giant ovarian serous cystadenoma. Despite of the relief of intra-abdominal hypertension (IAP: 16 mmHg), mild symptomatology (clinostatic dyspnea) lead to defer the emergency surgical treatment; after CT scan of abdomen and pelvis was performed a resection en bloc of the cystic mass, oophorectomy and cholecystectomy. However it seems advisable to perform an emergency laparotomy in patients with abdominal compartment syndrome (ACS) grade II when presenting as an acute abdomen.
Keywords
- Abdominal compartment syndrome
- Acute abdomen
- Ovarian cystadenoma