Accession Number : ADA512253


Title :   Abdominal Compartment Syndrome After Hip Arthroscopy


Descriptive Note : Case rept.


Corporate Author : WILLIAM BEAUMONT ARMY MEDICAL CENTER EL PASO TX


Personal Author(s) : Fowler, Justin ; Owens, Brett D


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a512253.pdf


Report Date : Jan 2010


Pagination or Media Count : 5


Abstract : As hip arthroscopy becomes a more common procedure, more complications may occur. We present a case of abdominal compartment syndrome resulting from fluid extravasation in a 42-year-old man who underwent routine hip arthroscopy for femoral acetabular impingement. He had not had previous surgeries to that hip, and arthroscopy was performed in the supine position. After adequate distraction, arthroscopy was performed with an automated pressure- and flow-controlled pump with the pressure maintained between 40 and 60 mm Hg. We performed debridement of a degenerative tear of the anterosuperior labrum, removal of a pincer lesion, and a psoas tenotomy through a capsular window. A distended abdomen was noted on drape removal, and the patient required decompressive laparotomy for abdominal compartment syndrome. Extravasation of arthroscopy fluid is a potentially devastating complication during hip arthroscopy, and there should be careful monitoring by the surgeons, anesthesiologists, and operating room staff.


Descriptors :   *PATIENTS , *SIGNS AND SYMPTOMS , *MONITORING , PARENTERAL INFUSIONS , IMPINGEMENT , SURGEONS , ANESTHESIOLOGISTS , DEGENERATION(PHYSIOLOGY) , ABDOMEN , REPRINTS , LESIONS


Subject Categories : Anatomy and Physiology
      Pharmacology


Distribution Statement : APPROVED FOR PUBLIC RELEASE