Hội chứng chèn ép khoang bụng sau can thiệp nội mạch điều trị vỡ phình động mạch chủ bụng: Báo cáo trường hợp lâm sàng và tổng quan y văn

This is a case report o f successful ACS treatment following RAAA intervention at Ho Chi Minh University Hospital o f Medicine and Pharmacy with a literature review. Clinical case: A 61-year-old male patient was hospitalized for abdominal pain. Computed tomography angiography demonstrated RAAA. He underwent the emergency endovascular repair of ruptured aneurysms (rEVAR). At 30 minutes post-intervention, the patient's abdomen was distended following intraabdominal hypertension measured via bladder catheter. Within ACS diagnosing, emergency decompressive laparoscopy was performed. The abdominal wall was left open and covered with a sterile nylon cover. The fascial closure was performed on the sixth postoperative day with the support of vacuum-assisted wound closure (VAC) and mesh-mediated fascial traction. On the 27 th postoperative day, the wound could close completely, and the patient could be discharged successfully. Conclusion: A bladder pressure is required to monitor intraabdominal pressure postoperatively after decompressive laparotomy. Delayed fascial closure is appropriate with supporting VAC until total abdominal closure.