ACG Case Rep J
. 2024 Apr 26;11(5):e01344.
doi: 10.14309/crj.0000000000001344. eCollection 2024 May. https://pubmed.ncbi.nlm.nih.gov/38682075/
Abdominal Compartment Syndrome Following Paraesophageal and Diaphragmatic Hernia Repair
Shawn A Brophy 1, Samuel Minor 2, Daniel G French 3
Affiliations expand
- PMID: 38682075
- PMCID: PMC11049705
- DOI: 10.14309/crj.0000000000001344
Abstract
Abdominal compartment syndrome (ACS) is defined as a sustained intra-abdominal pressure ≥ 20 mm Hg, associated with new organ dysfunction. Postoperative ACS can occur following repair of hernias with loss-of-domain. Such loss-of-domain hernias are well described involving incisional hernias, less described involving Bochdalek congenital diaphragmatic hernias (CDHs), but not yet described involving paraesophageal hernias (PEHs) or Morgagni CDHs. We describe a case of postoperative ACS following laparoscopic repair of a PEH and Morgagni CDH. This case demonstrates that prophylactic omentectomy should be considered in select patients undergoing repair of large PEHs or CDHs, as ACS is a rare but potential complication.
Keywords: abdominal compartment syndrome; compartment; hiatal; paraesophageal; surgery.
© 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.
