Atraumatic Polycompartment Syndrome Secondary to Cardiogenic Shock: A Case Report.

abdominal compartment syndrome cardiogenic shock compartment syndrome intraabdominal hypertension polycompartment syndrome

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Sep 2023
Historique:
accepted: 31 08 2023
medline: 4 10 2023
pubmed: 4 10 2023
entrez: 4 10 2023
Statut: epublish

Résumé

We report the case of a 53-year-old male who developed polycompartment syndrome (PCS) secondary to cardiogenic shock. After suffering a cardiac arrest, a self-perpetuating cycle of intra-abdominal hypertension (IAH) and vital organ damage led to abdominal compartment syndrome (AbCS), which then contributed to the precipitation of extremity compartment syndrome (CS) in bilateral thighs, legs, forearms, and hands. This report is followed by a review of the literature regarding the pathophysiology of this rare sequela of cardiogenic shock. While the progression from cardiogenic shock to AbCS and ultimately to PCS has been hypothesized, no prior case reports demonstrate this. Furthermore, this case suggests more generally that IAH may be a risk factor for extremity CS. Future studies should examine the potential interplay between IAH and extremity CS in patients at risk, such as polytrauma patients with tibial fractures.

Identifiants

pubmed: 37790054
doi: 10.7759/cureus.44519
pmc: PMC10544627
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e44519

Informations de copyright

Copyright © 2023, Yang et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Victor B Yang (VB)

Critical Care, Johns Hopkins University School of Medicine, Baltimore, USA.

Henry Shu (H)

Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, USA.

Manuj M Shah (MM)

General Surgery, Johns Hopkins University School of Medicine, Baltimore, USA.

Xiyu Zhao (X)

Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, USA.

Siam T Muquit (ST)

Cardiology, Johns Hopkins University School of Medicine, Baltimore, USA.

Marc Greenberg (M)

Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, USA.

Glenn Whitman (G)

Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, USA.

Sung-Min Cho (SM)

Neurology, Johns Hopkins University School of Medicine, Baltimore, USA.

Bo Soo Kim (BS)

Critical Care, Johns Hopkins University School of Medicine, Baltimore, USA.

Babar Shafiq (B)

Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, USA.

Classifications MeSH