Massive faecal impaction leading to abdominal compartment syndrome and acute lower limb ischaemia

Abdominal compartment syndrome (ACS) is associated with significant morbidity and mortality requiring prompt treatment. We report a rare case of a 57-year-old man who developed acute lower limb ischaemia, severe metabolic acidosis and renal impairment from massive faecal impaction of unknown aetiolo...

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Bibliographic Details
Published inBMJ case reports Vol. 2018; p. bcr-2018-225202
Main Authors Ho, Simon, Krawitz, Russel, Fleming, Bill
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group 20.06.2018
SeriesCase Report
Subjects
Unusual Association of Diseases/Symptoms
general surgery
medical management
acute renal failure
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Summary:Abdominal compartment syndrome (ACS) is associated with significant morbidity and mortality requiring prompt treatment. We report a rare case of a 57-year-old man who developed acute lower limb ischaemia, severe metabolic acidosis and renal impairment from massive faecal impaction of unknown aetiology resulting in ACS causing occlusion of the right common iliac artery. This was treated with faecal disimpaction, which eventually resulted in slow but full recovery.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2018-225202