- 期刊
- OpenAccess
Decompressive Laparotomy for Reduction of Incessant Increased Intracranial Pressure in the Absence of Abdominal Compartment Syndrome: A Case Report
並列摘要
Introduction: A novel approach for the management of severe traumatic brain injury is to perform a decompressive laparotomy when controlling intracranial hypertension (ICH) appears futile. Bladder pressures measured above 20 mmHg are used to signify the presence of an abdominal compartment syndrome and indicate the need for a decompressive laparotomy. Case Report: We are presenting a case study of a 16-year-old male who sustained a gunshot wound to the head that resulted in a severe traumatic brain injury and incessantly elevated intracranial pressures (IVP). The patient did not demonstrate a sustained and significant reduction in his ICH following a decompressive craniectomy. We performed a decompressive laparotomy successfully reducing the patient's ICP below 20 mmHg. The patient survived to discharge and was neurologically improved at follow-up. Conclusion: This case highlights the importance of regarding the body a continuous compartment allowing a reduction in intracranial pressure by decompressing the abdomen even in the absence of an abdominal compartment syndrome measured by elevated bladder pressures above 20 mmHg.
延伸閱讀
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