J Korean Soc Vasc Surg.  2006 May;22(1):44-47.

Surgical Treatment of the Ruptured Abdominal Aortic Aneurysm Complicated with Abdominal Compartment Syndrome and Colon Ischemia

• Cho KJ
• Park KJ
• Lyie KS

Abstract

A 76-years old man with a ruptured abdominal aortic aneurysm underwent an emergency abdominal aortic replacement with artificial graft. The patient developed abdominal compartment syndrome at the day of the operation and he received secondary decompression operation the next day. At 45 hours after the second operation the patient was returned to operation room to close the abdominal fascia, and sigmoid colon necrosis was found so we performed sigmoid colectomy with colostomy. After 22 days from the last operation, the abdominal wound was closed completely and the patient was discharged at the 42nd postoperative day with a colostomy state. We report here on this complex case together with a review of the recent articles.

Keyword

Abdominal aortic aneurysm; Abdominal; Compartment syndromes; Colon; Ischemia

MeSH Terms

Aged
Aortic Aneurysm, Abdominal*
Colectomy
Colon*
Colon, Sigmoid
Colostomy
Compartment Syndromes
Decompression
Emergencies
Fascia
Humans
Intra-Abdominal Hypertension*
Ischemia*
Necrosis
Transplants
Wounds and Injuries