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Abdominal Compartment Syndrome Following Repair of Large Myelomeningocele:A Rare Complication


Affiliations
1 Himalayan Institute of Medical Sciences, SRHU, Swami Ram Nagar, Dehradun, India
 

Anaesthetic challenges in meningomyelocele include securing a definitive airway with proper positioning of child during intubation as well as during surgery. Other challenges include maintaining normothermia, fluid management and proper estimation of the blood loss. Here, we report a child posted for excision of a large lumbosacral meningomyelocele with tethered cord and diastematomyelia. The child developed abdomen distension and fall in urine output postoperatively which raised a strong suspicion regarding development of abdominal compartment syndrome. The case highlights the difficulties we encountered in the post-operative period and the course of events that followed.

Keywords

Abdominal Distension, Diastematomyelia, Lumbosacral Meningomyelocele (MMC).
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  • Abdominal Compartment Syndrome Following Repair of Large Myelomeningocele:A Rare Complication

Abstract Views: 308  |  PDF Views: 75

Authors

Parul Jindal
Himalayan Institute of Medical Sciences, SRHU, Swami Ram Nagar, Dehradun, India
Aastha Srivastava
Himalayan Institute of Medical Sciences, SRHU, Swami Ram Nagar, Dehradun, India
Gurjeet Khurana
Himalayan Institute of Medical Sciences, SRHU, Swami Ram Nagar, Dehradun, India

Abstract


Anaesthetic challenges in meningomyelocele include securing a definitive airway with proper positioning of child during intubation as well as during surgery. Other challenges include maintaining normothermia, fluid management and proper estimation of the blood loss. Here, we report a child posted for excision of a large lumbosacral meningomyelocele with tethered cord and diastematomyelia. The child developed abdomen distension and fall in urine output postoperatively which raised a strong suspicion regarding development of abdominal compartment syndrome. The case highlights the difficulties we encountered in the post-operative period and the course of events that followed.

Keywords


Abdominal Distension, Diastematomyelia, Lumbosacral Meningomyelocele (MMC).

References