Abdominal compartment syndrome: what radiologist needs to know

被引:4
作者
Caruso, Martina [1 ]
Rinaldo, Chiara [1 ]
Iacobellis, Francesca [1 ]
Orabona, Giuseppina Dell'Aversano [1 ]
Grimaldi, Dario [1 ]
Di Serafino, Marco [1 ]
Schilliro, Maria Laura [1 ]
Verde, Francesco [1 ]
Sabatino, Vittorio [1 ]
Camillo, Costanza [1 ]
Ponticiello, Gianluca [1 ]
Romano, Luigia [1 ]
机构
[1] Antonio Cardarelli Hosp, Dept Gen & Emergency Radiol, I-80131 Naples, Italy
来源
RADIOLOGIA MEDICA | 2023年 / 128卷 / 12期
关键词
Abdominal compartment syndrome; Imaging; Critically ill patients; Surgery; Ultrasound; Computed tomography; INCREASED INTRAABDOMINAL PRESSURE; CRITICALLY-ILL; HYPERTENSION; CT; MANAGEMENT; DIAGNOSIS; ARTERIAL; EMERGENCIES; LAPAROTOMY; PULMONARY;
D O I
10.1007/s11547-023-01724-4
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The intra-abdominal hypertension (IAH) and the abdominal compartment syndrome (ACS) are life-threatening conditions with a significant rate of mortality; therefore, early detection is paramount in their optimal management. IAH is diagnosed when the intra-abdominal pressure (IAP) is more than 12 mmHg. It can occur when the intra-abdominal volume increases (ileus, ascites, trauma, pancreatitis, etc.) and/or the abdominal wall compliance decreases. IAH can cause decreased venous flow, low cardiac output, renal impairment, and decreased respiratory compliance. Consequently, these complications can lead to multiple organ failure and induce the abdominal compartment syndrome (ACS) when IAP rises above 20 mmHg. The diagnosis is usually made with intravesical pressure measurement. However, this measurement was not always possible to obtain; therefore, alternative diagnostic techniques should be considered. In this setting, computed tomography (CT) may play a crucial role, allowing the detection and characterization of pathological conditions that may lead to IAH. This review is focused on the pathogenesis, clinical features, and radiological findings of ACS, because their presence allows radiologists to raise the suspicion of IAH/ACS in critically ill patients, guiding the most appropriate treatment.
引用
收藏
页码:1447 / 1459
页数:13
相关论文
共 71 条
[1]   Dual-energy CT: theoretical principles and clinical applications [J].
Agostini, Andrea ;
Borgheresi, Alessandra ;
Mari, Alberto ;
Floridi, Chiara ;
Bruno, Federico ;
Carotti, Marina ;
Schicchi, Nicolo ;
Barile, Antonio ;
Maggi, Stefania ;
Giovagnoni, Andrea .
RADIOLOGIA MEDICA, 2019, 124 (12) :1281-1295
[2]   A prospective evaluation of CT features predictive of intra-abdominal hypertension and abdominal compartment syndrome in critically ill surgical patients [J].
Al-Bahrani, A. Z. ;
Abid, G. H. ;
Sahgal, E. ;
O'Shea, S. ;
Lee, S. ;
Ammori, B. J. .
CLINICAL RADIOLOGY, 2007, 62 (07) :676-682
[3]   MDCT in ischaemic colitis: how to define the aetiology and acute, subacute and chronic phase of damage in the emergency setting [J].
Berritto, Daniela ;
Iacobellis, Francesca ;
Mazzei, Maria Antonietta ;
Volterrani, Luca ;
Guglielmi, Giuseppe ;
Brunese, Luca ;
Grassi, Roberto .
BRITISH JOURNAL OF RADIOLOGY, 2016, 89 (1061)
[4]   Interventional radiology protocol for treatment of esophagogastric anastomotic leakage [J].
Bi, Yonghua ;
Zhu, Xiaoyan ;
Yu, Zepeng ;
Wu, Gang ;
Han, Xinwei ;
Ren, Jianzhuang .
RADIOLOGIA MEDICA, 2019, 124 (12) :1253-1261
[5]   Intra-abdominal pressure monitoring in liver transplant recipients:: a prospective study [J].
Biancofiore, G ;
Bindi, ML ;
Romanelli, AM ;
Boldrini, A ;
Consani, G ;
Bisà, M ;
Filipponi, F ;
Vagelli, A ;
Mosca, F .
INTENSIVE CARE MEDICINE, 2003, 29 (01) :30-36
[6]   Dual-source dual-energy CT in the evaluation of hepatic fractional extracellular space in cirrhosis [J].
Bottari, Antonio ;
Silipigni, Salvatore ;
Carerj, Maria Ludovica ;
Cattafi, Antonino ;
Maimone, Sergio ;
Marino, Maria Adele ;
Mazziotti, Silvio ;
Pitrone, Alessia ;
Squadrito, Giovanni ;
Ascenti, Giorgio .
RADIOLOGIA MEDICA, 2020, 125 (01) :7-14
[7]   Abdominal compartment syndrome and intra-abdominal hypertension in critically ill patients: diagnostic value of computed tomography [J].
Bouveresse, S. ;
Piton, G. ;
Badet, N. ;
Besch, G. ;
Pili-Floury, S. ;
Delabrousse, E. .
EUROPEAN RADIOLOGY, 2019, 29 (07) :3839-3846
[8]   Diagnostic value of arterial blood gas lactate concentration in the different forms of mesenteric ischemia [J].
Brillantino, A. ;
Iacobellis, F. ;
Renzi, A. ;
Nasti, R. ;
Saldamarco, L. ;
Grillo, M. ;
Romano, L. ;
Castriconi, M. ;
Cittadini, A. ;
De Palma, M. ;
Scaglione, M. ;
Di Martino, N. ;
Grassi, R. ;
Paladino, F. .
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY, 2018, 44 (02) :265-272
[9]   Non operative management of blunt splenic trauma: a prospective evaluation of a standardized treatment protocol [J].
Brillantino, A. ;
Iacobellis, F. ;
Robustelli, U. ;
Villamaina, E. ;
Maglione, F. ;
Colletti, O. ;
De Palma, M. ;
Paladino, F. ;
Noschese, G. .
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY, 2016, 42 (05) :593-598
[10]   Accuracy of computed tomography in staging acute appendicitis and its impact on surgical outcome and strategy: a multi-center retrospective case-control study [J].
Brillantino, Antonio ;
Iacobellis, Francesca ;
Brusciano, Luigi ;
Abu-Omar, Ahmad ;
Muto, Gianluca ;
Amadu, Antonio Matteo ;
Foroni, Fabrizio ;
Antropoli, Massimo ;
Antropoli, Carmine ;
Castriconi, Maurizio ;
Renzi, Adolfo ;
Pirolo, Luigi ;
Giuliani, Antonio ;
Scarano, Enrico ;
Docimo, Ludovico ;
Scaglione, Mariano ;
Romano, Luigia .
RADIOLOGIA MEDICA, 2023, 128 (04) :415-425