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Abdominal Compartment Syndrome and Percutaneous Needle Decompression in a Woman with Corrosive Injury

Hsiao-Yun Chao, Yi-Ming Weng, Yu-Che Chang, Jih-Chang Chen and Shou-Yen Chen

Abdominal Compartment Syndrome (ACS) is defined by organ dysfunction caused by intra-abdominal hypertension. Increase in intra-abdominal pressure causes multiple adverse physiologic events and is uniformly fatal if left untreated. We report the case of a 76-year-old woman of pneumoperitoneum due to hydrocholoric acidinduced corrosive injury, leading to ACS with pulseless electrical activity. Emergency needle decompression was done and successfully restored circulation. It reminds possible ACS in patients of pneumoperitoneum and use of percutaneous needle decompression before operation in emergent condition.