Acute pancreatitis is one of the main causes of intra-abdominal hypertension (IAH). IAH contributes to multiple physiologic alterations and leads to the development of abdominal compartment syndrome (ACS) that induces multiorgan failure. We report a case of ACS in a patient with severe acute pancreatitis. A 44-year-old man who was admitted in a drunk state was found to have severe acute pancreatitis. During management with fluid resuscitation in an intensive care unit, drowsy mentality, respiratory acidosis, shock requiring inotropes, and oliguria developed in the patient, with his abdomen tensely distended. With a presumptive diagnosis of ACS, abdominal decompression through percutaneous catheter drainage was performed immediately. The intraperitoneal pressure measured with a drainage catheter was 31 mm Hg. After abdominal decompression, the multiorgan failure was reversed. We present a case of ACS managed with percutaneous catheter decompression.

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• Beyond the Splanchnic Area: Extra-splanchnic Thrombosis in Acute Pancreatitis
  Varsha Shinde, Pranay Penmetsa, Yash Dixit
  Cureus.2024;[Epub]     CrossRef
• Fluid Management, Intra-Abdominal Hypertension and the Abdominal Compartment Syndrome: A Narrative Review
  Rita Jacobs, Robert D. Wise, Ivan Myatchin, Domien Vanhonacker, Andrea Minini, Michael Mekeirele, Andrew W. Kirkpatrick, Bruno M. Pereira, Michael Sugrue, Bart De Keulenaer, Zsolt Bodnar, Stefan Acosta, Janeth Ejike, Salar Tayebi, Johan Stiens, Colin Cord
  Life.2022; 12(9): 1390.     CrossRef
• A Wireless Implantable Passive Intra-Abdominal Pressure Sensing Scheme via Ultrasonic Imaging of a Microfluidic Device
  Hongjie Jiang, Ian Woodhouse, Vidhya Selvamani, Jessica L. Ma, Renxiang Tang, Craig J. Goergen, Tahereh Soleimani, Rahim Rahimi
  IEEE Transactions on Biomedical Engineering.2021; 68(3): 747.     CrossRef
• Reduction of intra-abdominal pressure after percutaneous catheter drainage of pancreatic fluid collection predicts survival
  Anupam K. Singh, Jayanta Samanta, Saurabh Dawra, Pankaj Gupta, Atul Rana, Vishal Sharma, Praveen Kumar-M, Saroj K. Sinha, Rakesh Kochhar
  Pancreatology.2020; 20(4): 772.     CrossRef
• Effects of HV-CRRT on PCT, TNF-α, IL-4, IL-6, IL-8 and IL-10 in patients with pancreatitis complicated by acute renal failure
  Changbo Liu, Mu Li, Shixiong Cao, Jianzhong Wang, Xiaoqiong Huang, Weizhen Zhong
  Experimental and Therapeutic Medicine.2017; 14(4): 3093.     CrossRef
• Open abdomen critical care management principles: resuscitation, fluid balance, nutrition, and ventilator management
  Elizabeth Chabot, Ram Nirula
  Trauma Surgery & Acute Care Open.2017; 2(1): e000063.     CrossRef
• Abdominal Paracentesis Drainage Does Not Increase Infection in Severe Acute Pancreatitis
  Liye Liu, Hongtao Yan, Weihui Liu, Jianfeng Cui, Tao Wang, Ruiwu Dai, Hongyin Liang, Hao Luo, Lijun Tang
  Journal of Clinical Gastroenterology.2015; 49(9): 757.     CrossRef