선천거대결장증이 늦게 발현한 10세 남자에서 발생한 복강구획증후군

Abdominal compartment syndrome (ACS) involves adverse physiologic consequences arising from the increased intraabdominal pressure, leading to high mortality. However, this syndrome has been scarcely reported in pediatric emergency settings. We describe a 10-year-old boy with ACS presenting with pain...

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Bibliographic Details
Published in:Taehan Soa Ŭnggup Ŭhakhoe chi 2021, 8(2), , pp.112-115
Main Authors: 정가은, 장필상
Format: Article
Language:Korean
Subjects:
소아과학
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Summary:Abdominal compartment syndrome (ACS) involves adverse physiologic consequences arising from the increased intraabdominal pressure, leading to high mortality. However, this syndrome has been scarcely reported in pediatric emergency settings. We describe a 10-year-old boy with ACS presenting with painful abdominal distension, oliguria, and dyspnea. Despite the absence of known congenital anomalies, he had undergone frequent episodes of constipation since 5 years of age, and had not defecated for recent 2 months. With computed tomography scans showing the entire colorectal distension, his manifestations were considered to have stemmed from congenital aganglionic megacolon, which had gone undetected. This case underlines the needs for considering ACS and consequent surgical decompression in a child with severe abdominal distension. KCI Citation Count: 0
ISSN:2383-4897
2508-5506