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Secondary Abdominal Compartment Syndrome after Military Wounding
  1. C M Lamb, General Surgery1,
  2. JEA Berry, General Surgery2,
  3. WF DeMello, Anaesthesia and Pain Medicine3 and
  4. C Cox, Obstetrics & Gynaecology4
  1. 1St Mary’s Hospital, Isle of Wight
  2. 2Queens Alexandra Hospital, Portsmouth. PO6 3LY 07974 191873 jeaberry{at}armymail.mod.uk
  3. 3University Hospital of South Manchester, Manchester
  4. 4New Cross Hospital, Wolverhampton

Abstract

Intra-abdominal hypertension and abdominal compartment syndrome are increasingly recognised as causes of serious morbidity andmortality in critically injured patients, particularly those with significant burns. Identification of at risk patients, routine monitoring of intra-abdominal pressures and appropriate, early treatment may reduce the incidence and complication rate of abdominal compartment syndrome and so improve outcomes in critically injured personnel. We present the case of an American Marine injured in an explosion while on patrol in Afghanistan, who despite the absence of significant intraabdominal injury, went on to develop abdominal compartment syndrome and required decompressive laparotomy.

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