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Perforated second trimester appendicitis with abdominal compartment syndrome managed with negative pressure wound

Adam R Turnock1, Brian P Fleischer1, Martin J Carney1

  • 1Department of Medical Education, Tulane University New Orleans, LA 70112, USA.

Journal of Surgical Case Reports
|June 16, 2016
PubMed

Abdominal compartment syndrome (ACS) is a known complication of laparotomy; however, the literature is lacking in regards to treatment of this entity in pregnant patients. We present a case of acute perforated appendicitis in a second trimester primagravida, complicated by gangrenous necrosis of the contiguous bowel with subsequent development of ACS and intra-abdominal sepsis. This was treated with a novel approach, using non-commercial negative pressure wound therapy and open abdomen technique. Gestational integrity was preserved and the patient went on to experience a normal spontaneous vaginal delivery. At 5 years post-delivery the patient has had no surgical complications and her baby has met all developmental milestones.

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