J Yeungnam Med Sci.  2023 Jan;40(1):102-105. 10.12701/jyms.2022.00430.

Intra-abdominal hypertension during hip arthroscopy: a case report

• Kim S
• Ri HS
• Kim JH
• Yeom J

• KMID: 2538792
• DOI: http://doi.org/10.12701/jyms.2022.00430

Abstract

Symptomatic extravasation of irrigation fluid is a rare complication of hip arthroscopy. However, depending on the amount of fluid, intra-abdominal hypertension (IAH) may occur and even develop into abdominal compartment syndrome, which can seriously alter hemodynamic circulation. Therefore, it is important for anesthesiologists to promptly recognize the abnormal signs of IAH for early diagnosis and better clinical outcomes. Nevertheless, these signs are difficult to detect because they are usually obscured when the patient is under anesthesia and masked by surgical drapes. We report a case of IAH under general anesthesia during hip arthroscopy to highlight possible symptoms and signs.

Keyword

Arthroscopy; Compartment syndromes; Hypothermia; Intra-abdominal hypertension

Figure

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  Fig. 1. Postoperative abdominal computed tomography reveals a large amount of fluid accumulating in the (A) abdominal cavity and (B) right perihepatic space.

Reference

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