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Case Report |

Abdominal Compartment Syndrome During Unilateral Biportal Endoscopic Spinal Surgery: A Case Report

Background: Abdominal compartment syndrome (ACS), a serious complication of organ failure, which is caused by acute and persistent increase of intra-abdominal pressure (IAP). Ascites is often ignored as a rare complication of unilateral biportal endoscopic (UBE) surgery. However, intra-abdominal hypertension (IAH) caused by massive ascites can lead to multiple organ dysfunction, which leads to the occurrence of ACS with a very high mortality rate. Case Presentation: In this case, the patient was a 74-year-old man who underwent UBE decompression for severe lumbar disc herniation. During the surgery, the airway pressure and stroke volume variation (SVV) were incerased gradually. when increasing saline pressure. Subsequently, the patient was diagnosed with ACS and treated with emergency diuretics and performing ultrasound-guided abdominal paracentesis to reduce abdominal pressure. After emergency treatment, the patient's IAH symptom was significantly relieved and his airway pressure and hemodynamics was rapidly improved. Conclusion: The possibility of ACS should be considered in the presence of persistently elevated airway pressure during UBE surgery. Without early diagnosis and timely management, ACS would have a high mortality rate. Considering the severity of ACS during surgery, we recommend taking measures to monitor intra-abdominal pressure during UBE surgery.

Unilateral Biportal Endoscopy, Abdominal Compartment Syndrome, Lumbar Disc Herniation, Ascites

APA Style

Luo, W., Ye, D. (2023). Abdominal Compartment Syndrome During Unilateral Biportal Endoscopic Spinal Surgery: A Case Report. Journal of Surgery, 11(6), 132-135. https://doi.org/10.11648/j.js.20231106.12

ACS Style

Luo, W.; Ye, D. Abdominal Compartment Syndrome During Unilateral Biportal Endoscopic Spinal Surgery: A Case Report. J. Surg. 2023, 11(6), 132-135. doi: 10.11648/j.js.20231106.12

AMA Style

Luo W, Ye D. Abdominal Compartment Syndrome During Unilateral Biportal Endoscopic Spinal Surgery: A Case Report. J Surg. 2023;11(6):132-135. doi: 10.11648/j.js.20231106.12

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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