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New research on compartment syndrome from S. Soltsman and co-authors summarized.
"Abdominal compartment syndrome is a consequence of increased intraabdominal pressure. It can be triggered by inflammation, hemorrhage, chemical peritonitis, or prolonged insufflations during laparoscopy," researchers in Poriya, Israel report (see also Compartment Syndrome).
"It is a well-known phenomenon for intensive care specialists, but gynecologists are relatively unfamiliar with its occurrence. A woman with heterotopic pregnancy underwent urgent laparoscopy because of abdominal hemorrhage. The postoperative course was complicated by abdominal pain, ascites, bowel dysfunction, and renal failure, which resolved rapidly after catheterization and paracentesis. In this case, abdominal compartment syndrome developed after unremarkable laparoscopy, and appeared to be triggered by change of progesterone formulation," wrote S. Soltsman and colleagues.
The researchers concluded: "Decompression by paracentesis was lifesaving, and led to rapid resolution of the symptoms."
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