Gynecology and Reproductive Endocrinology

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Abdominal Compartment Syndrome

Abdominal Compartment Syndrome (ACS) is characterized as sustained Intra-Abdominal Pressure (IAP) of >20 mmHg with the existence of an attributable organ failure. Intra-Abdominal Hypertension (IAH) can contribute to Splanchnic Hypoperfusion, intestinal perforation and multiple organ failure. A main cause of morbidity and mortality after ruptured abdominal aortic aneurysm (rAAA) is ACS, which is estimated to develop in 20% of the patients. In the largest series of patients with rAAA treated with the Endovascular aneurysm repair (EVAR), mortality of ACS patients was 30%. Abdominal Compartment Syndrome(ACS) and Intestinal perforation are analyzed as predictive factors for increased ICU mortality and morbidity, as which reason future vigilance and appropriate management of them remains critically important in rAAA.

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