Abdominal compartment syndrome after endovascular repair of ruptured abdominal aortic aneurysm: A case report and literature review

Background: Abdominal compartment syndrome (ACS) arises in approximately 7% after ruptured abdominal aortic aneurysm (RAAA) treatment. Decompressive laparotomy is a satisfactory way to treat ACS. The problem deciding when complete closure with appropriate alternative treatments.[1]
 Methods: This case report of successful ACS treatment following RAAA intervention at Ho Chi Minh University Hospital Medicine and Pharmacy literature review.
 Clinical case: A 61-year-old male patient was hospitalized for pain. Computed tomography angiography demonstrated RAAA. He underwent the emergency endovascular repair aneurysms (rEVAR). At 30 minutes post-intervention, patient's abdomen distended intraabdominal hypertension measured via bladder catheter. Within diagnosing, decompressive laparoscopy performed. wall left open covered sterile nylon cover. fascial performed on sixth postoperative day support vacuum-assisted wound (VAC) mesh-mediated traction. On 27th day, could close completely, be discharged successfully.
 Conclusion: pressure required monitor postoperatively laparotomy. Delayed supporting VAC until total closure.