Chuang FJJ, Lim AEW, Cooper ML, Townend P, Parker DJ. An unusual case of abdominal compartment syndrome from a massive faecaloma.
J Surg Case Rep 2022;
2022:rjac348. [PMID:
35949645 PMCID:
PMC9359701 DOI:
10.1093/jscr/rjac348]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Accepted: 07/02/2022] [Indexed: 12/02/2022] Open
Abstract
Severe constipation is a frequent presentation but progression into a life-threatening acute compartment syndrome (ACS) is few and far between. This case highlights the typical physiological manifestations of ACS and the immediate benefits of correcting these physiological imbalances through the disimpaction of a massive faecaloma. Furthermore, in adult patients with a history of colonic dysmotility, adult Hirschsprung’s disease should be considered.
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