Abdominal compartment syndrome due to pelvic hematoma which developed after hysterectomy: Case report

Abstract

Abdominal compartment syndrome (ACS) is defined as intraabdominal hypertension. A fourty-seven-years-old patient was admitted to our outpatient clinic with complaint of vaginal bleeding. Total abdominal hysterectomy and bilateral salpingo-ooferectomy were performed because of myoma uteri and ovarian cyst. Low back pain, abdominal distention, wide pelvic-retroperitoneal hematoma and ileus developed and diagnosis of ACS was made on the second day after operation. Drainage of the hematoma and wide adhesiolysis were performed by laparotomy on the 3rd post-operative day. The abdomen was closed by the Bogota-bag method. The clinical and laboratory findings of the patient improved over the subsequent follow up period. The patient was discharged 15th days after the operation. As this case shows, ACS can develop after gynaecological operations and phycisans should be aware of this rare and life-threatining condition. Copyright © 2013 by Tükiye Klinikleri.