Abdominal Compartment Syndrome in an Infant with Severe Dengue: A Case Report

Document Type : case report

Authors

1 MBBS,MD, Professor of pediatrics Jss medical college, Jss academy of higher education and research, Mysore, India

2 MBBS, Resident in pediatrics jss medical college, jss academy of higher education and research Mysore, India.

3 MBBS,DCH,DNB, Professor of paediatrics jss medical college, jss academy of higher education and research Mysore, India

4 MBBS,MD, Assistant professor of paediatrics jss medical college, jss academy of higher education and research, Mysore, India

Abstract

Background: Abdominal compartment syndrome can have devastating effects on abdominal visceral organs which eventually can progress to multi-organ dysfunction and death. Various medical and surgical conditions are known to progress to this complication. Abdominal compartment syndrome is now increasingly recognised as a complication of sepsis and Dengue shock syndrome. Life saving measures include reduction of intra-abdominal pressure and adequate support of dysfunctional organs.
Case report: We report the case of a 3-month-old infant with abdominal compartment syndrome due to severe dengue illness with multi organ failure with massive ascites. She had a dramatic recovery following abdominal decompression by therapeutic drainage of 300 ml of ascitic fluid.
Conclusion: The spectrum of abdominal compartment syndrome features may easily be thought to be part of capillary leak syndrome and the diagnosis of ACS could have been missed. Early recognition and aggressive treatment have been shown to significantly improve the outcome.

Keywords

References

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Journal of Pediatric Perspectives
Volume 12, Issue 4
April 2024
Pages 18775-18780

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