Central Journal of ISA

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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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