Perioperative Challenges of Abdominal Compartment Syndrome in Complex Hernia Repair

Authors

Vivian Chang, Corewell Health East Resident
Patrick Thrasher, Corewell Health East Resident
Roy Soto, Corewell Health East

Document Type

Conference Proceeding

Publication Date

10-12-2025

Abstract

A 58-year-old male presented to the Surgical ICU with worsening abdominal pain and dyspnea following Tenckhoff catheter placement. He subsequently developed hypotension with altered mental status. CT revealed a rectus sheath hematoma near the catheter, and elevated bladder pressures confirmed abdominal compartment syndrome. He was intubated for acute hypoxic respiratory failure and underwent an emergent laparotomy with hematoma evacuation and catheter removal. In this presentation, we will discuss the unique perioperative challenges of abdominal compartment syndrome, including airway management, hemodynamic instability, and coordination of emergent surgical decompression.

Comments

American Society of Anesthesiologists, The Anesthesiology Meeting, October 10-14, 2025, San Antonio, TX

Recommended Citation

Chang V, Thrashter P, Soto R. Perioperative challenges of abdominal compartment syndrome in complex hernia repair. Presented at: American Society of Anesthesiologists, The Anesthesiology Meeting; 2025 Oct 12; San Antonio, TX. Available from:https://www.abstractsonline.com/pp8/#!/21028/presentation/9817