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Case Reports
. 2024 Apr 26;11(5):e01344.
doi: 10.14309/crj.0000000000001344. eCollection 2024 May.

Abdominal Compartment Syndrome Following Paraesophageal and Diaphragmatic Hernia Repair

Shawn A Brophy  1 , Samuel Minor  2 , Daniel G French  3
Affiliations
Case Reports

Abdominal Compartment Syndrome Following Paraesophageal and Diaphragmatic Hernia Repair

Shawn A Brophy et al. ACG Case Rep J. .

Abstract

Abdominal compartment syndrome (ACS) is defined as a sustained intra-abdominal pressure ≥ 20 mm Hg, associated with new organ dysfunction. Postoperative ACS can occur following repair of hernias with loss-of-domain. Such loss-of-domain hernias are well described involving incisional hernias, less described involving Bochdalek congenital diaphragmatic hernias (CDHs), but not yet described involving paraesophageal hernias (PEHs) or Morgagni CDHs. We describe a case of postoperative ACS following laparoscopic repair of a PEH and Morgagni CDH. This case demonstrates that prophylactic omentectomy should be considered in select patients undergoing repair of large PEHs or CDHs, as ACS is a rare but potential complication.

Keywords: abdominal compartment syndrome; compartment; hiatal; paraesophageal; surgery.

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Figures

Figure 1.
Figure 1.
Preoperative cross-sectional imaging demonstrating mediastinal omentum contained within Morgagni congenital diaphragmatic hernia sac in the transverse (A) and coronal (B & C) views.
See this image and copyright information in PMC

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