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. 2014 Nov 14;8:368. doi: 10.1186/1752-1947-8-368

Table 2.

Cases of fluid extravasation after hip arthroscopy – intra-abdominal hypertension/abdominal compartment syndrome treatment and outcomes

Author and Reference number
Intra-abdominal hypertension/acute abdominal compartment syndrome clinical signs
Intra-abdominal hypertension/acute abdominal compartment syndrome treatment procedures
Treatment results
  Abdomen Others    
Bartlett et al.[3]
Significant abdominal distension
Cardiopulmonary arrest
1. Nonoperative medical management
Despite prolonged asystole, the patient survived without neurologic sequelae
2. An emergent exploratory laparotomy closed primarily
Haupt et al.[4]
Diffuse abdominal pain 4 hours after surgery
1. Body temperature decreased from 36.3° to 34.5°C at the end of the operation
Nonoperative medical management
The irrigation solution was absorbed the next day
2. Concurrent neurologic symptoms, resembling absence seizures occurred
The neurologic symptoms disappeared without treatment
Sharma et al.[5]
Significant abdominal distension
1. Acute hypotensive with a systolic blood pressure of 60–70mmHg
1. Nonoperative medical management
Immediate improvement in the patient’s hemodynamic status
2. Unresponsive
2. Urgent mini-laparotomy and then diagnostic laparotomy
3. Apnoeic
4. Lower extremities appeared cyanotic no pulse could be palpated in either leg
Fowler and Owens [6]
Abdomen extremely distended
1. Elevated bladder pressures (42mmHg)
1. Nonoperative medical management
Asymptomatic in his right hip and groin but is continuing follow-up by a general surgeon for abdominal complaints related to his incision and abdominal compartment syndrome
2. An increased peak inspiratory pressure, thus preventing extubation
2. An emergent exploratory laparotomy. The abdomen was left open, and a wound vacuum was placed.
Verma and Sekiya [7]
Distended and firm abdomen but easily compressible
1. Hypothermia during the surgical procedure
Nonoperative medical management
The irrigation solution was absorbed
2. Right labia was asymmetrically enlarged
Ladner et al.[8]
Abdomen noticeably distended
1. Core body temperature remained above 36.8°C.
Paracentesis – no fluid was obtained. A computed tomography scan after paracentesis showed a copious amount of fluid in the intraperitoneal area and a small amount in the retroperitoneal area
The irrigation solution was absorbed the next day
2. At no time was her respiratory or cardiac function compromised based on clinical examination, blood pressure, heart rate, arterial blood gas values, and electrocardiographic data
Current case
Abdomen extremely distended
1. Acute hypotension with a systolic blood pressure of 60–70mmHg
Paracentesis and percutaneous slow drainage
Immediate improvement in the patient’s hemodynamic status
Abdominal pain
2. Unresponsiveness
    3. Shortness of breath