Journal article

Anastomotic leak management after a low anterior resection leading to recurrent abdominal compartment syndrome: a case report and review of the literature

Toutouzas K, Kleidi E, Drimousis P, Balla M, Papanikolaou M, Larentzakis A, Theodorou D, Katsaragakis S ...see all

J.Med.Case.Reports., vol. 3, issue 1752-1947 (Electronic) (2009) p. 125

  • 1

    Readers

    Mendeley users who have this article in their library.
  • N/A

    Citations

    Citations of this article.
Sign in to save reference

Abstract

INTRODUCTION: Low anterior resection is usually the procedure of choice for rectal cancer, but a series of complications often accompany this procedure. This case report describes successful management of an intricate anastomotic leak after a low anterior resection. CASE PRESENTATION: A 66-year-old Caucasian man was admitted to our hospital and diagnosed with a low rectal adenocarcinoma. He underwent a low anterior resection but subsequently developed fecal peritonitis due to an anastomotic leak. He was operated on again but developed abdominal compartment syndrome, multi-organ failure and sepsis. He was aggressively treated in the intensive care unit and in the operating room. Overall, the patient underwent four laparotomies and stayed in the intensive care unit for 75 days. He was discharged after 3 months of hospitalization. CONCLUSION: Abdominal compartment syndrome may present as a devastating complication of damage control laparotomy. Prompt recognition and goal-directed management are the cornerstones of treatment

Author-supplied keywords

  • Intensive Care
  • Laparotomy
  • Peritonitis
  • Sepsis
  • Syndrome
  • complications
  • surgery

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document

  • PMID: 20062765

Authors

  • K Toutouzas

  • E S Kleidi

  • P G Drimousis

  • M Balla

  • M N Papanikolaou

  • A Larentzakis

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free