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Related Experiment Video

Updated: Jun 1, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
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Delayed retroperitoneal bleeding causing acute abdominal compartment syndrome: case report.

Fikri M Abu-Zidan1, Ali Jawas, Mustafa Boraie

  • 1Trauma Group, Faculty of Medicine, UAE University, Al-Ain, United Arab Emirates. fabuzidan@uaeu.ac.ae

Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|June 7, 2011
PubMed
Summary

Delayed retroperitoneal bleeding can cause acute abdominal compartment syndrome (ACS) weeks after trauma. Prompt surgical intervention is crucial for managing this rare, life-threatening condition.

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Area of Science:

  • Trauma Surgery
  • Surgical Critical Care
  • Abdominal Imaging

Background:

  • Acute abdominal compartment syndrome (ACS) is a critical condition often associated with intra-abdominal hypertension.
  • Delayed presentation of ACS due to retroperitoneal bleeding following trauma is exceptionally rare.

Observation:

  • A 46-year-old male sustained a fall from height with initial stable hemodynamics and no abdominal distension.
  • On post-trauma day 15, the patient developed sudden hypotension, abdominal distension, respiratory failure, and acidosis.
  • Abdominal CT revealed a large retroperitoneal hematoma compressing the inferior vena cava (IVC) with active bleeding (contrast blush).

Findings:

  • The patient was diagnosed with ACS secondary to delayed retroperitoneal hemorrhage.
  • Laparotomy identified an actively bleeding ileocolic vessel within the retroperitoneal hematoma.
  • Immediate surgical decompression led to dramatic hemodynamic and respiratory improvement.

Implications:

  • This case highlights the potential for life-threatening delayed retroperitoneal bleeding to manifest as ACS up to two weeks post-trauma.
  • Early recognition and surgical management are vital for improving outcomes in such rare presentations.
  • Retroperitoneal hematomas post-trauma require vigilant monitoring for delayed complications like ACS.