Asian Journal of Case Reports in Surgery

Abdominal Compartment Syndrome Following Sigmoidopexy for Sigmoid Volvulus – Significant Role of Flatus Tube and NG Tube: A Case Report

Chishti Tanhar Bakth Choudhury *

Department of Surgery, Northern International Medical College Hospital (NIMCH), Bangladesh.

Md. Golam Afsar

NIMCH, Bangladesh.

Mahmudur Rahman Khandoker

Department of Anaesthesia, Intensive Care and Pain Medicine NIMCH, Bangladesh.

*Author to whom correspondence should be addressed.

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Abstract

The detrimental effects of intraabdominal HTN and abdominal compartment syndrome affect almost every systems by altering organ perfusion [1]. ACS is life threatening and is not very uncommon in our practice [2]. There is a clinical scenario of 70 yrs male with history of absolute constipation and abdominal distention with pain in abdomen. He was attended at Govt. hospitals ER and was diagnosed as volvulus sigmoid colon and immediate laparotomy with untwist of gut and  sigmodopexy done. Closure of abdomen done without any abdominal drain tube and patient was attemped for extubation but not achieving adequate %spo2 and shifted to ICU with intubated state. Following night of operation patient abdomen was becoming tense and diagnosed ACS and immediate Flatus tube and NG tube inserted. Both tube kept in situ >48 hours and patients abdomen becoming soft and normal. In this scenario NG tube and per rectal flatus tube plays significant role in managing ACS.

Keywords: Abdominal compartment syndrome, sigmoidopexy, Flatus tube, organ hypoperfusion

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