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A New Etiology for the Abdominal Compartment Syndrome: Pseudomyxoma Peritonei

Charles Sabbagh1, Colette Vaillandet1, Jean-Jacques Tuech2

  • 1Department of Digestive and Metabolic Surgery, Amiens University Hospital, University of Picardie Jules Verne, Amiens, France.

Case Reports in Gastroenterology
|October 21, 2015
PubMed

Insights

Pseudomyxoma peritonei (PMP) is rare. Abdominal compartment syndrome in PMP patients is manageable with surgery and chemotherapy, offering a chance for long-term survival without recurrence.

Area of Science:

  • Oncology
  • Gastroenterology
  • Surgical Pathology

Background:

  • Pseudomyxoma peritonei (PMP) is a rare malignancy originating typically from appendiceal rupture, characterized by mucin accumulation in the peritoneal cavity.
  • PMP progression can lead to bowel obstruction and cutaneous fistulas, with abdominal compartment syndrome being an infrequent but severe complication.

Observation:

  • This case report details a patient diagnosed with PMP who developed abdominal compartment syndrome.

Findings:

  • Initial management involved laparotomy to alleviate abdominal pressure.
  • Subsequent treatment included peritonectomy combined with hyperthermic intraperitoneal chemotherapy.
  • The patient remained disease-free one year post-treatment, indicating successful management.

Implications:

  • Acute abdominal pain and respiratory distress in PMP patients warrant abdominal pressure measurement.
  • Abdominal compartment syndrome is not a contraindication for curative PMP treatment.
  • Aggressive surgical and chemotherapeutic approaches can achieve long-term remission in complex PMP cases.
Keywords:
Compartment syndromeEmergencyHyperthermic intraperitoneal chemotherapyPseudomyxomaSurgery

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