Massive faecal impaction leading to abdominal compartment syndrome and acute lower limb ischaemia. (20th June 2018)

• Record Type: Journal Article
• Authors: Ho, Simon; Krawitz, Russel; Fleming, Bill
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-06-20
• Subjects: general surgery -- medical management -- acute renal failure; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-225202
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Abdominal compartment syndrome (ACS) is associated with significant morbidity and mortality requiring prompt treatment. We report a rare case of a 57-year-old man who developed acute lower limb ischaemia, severe metabolic acidosis and renal impairment from massive faecal impaction of unknown aetiology resulting in ACS causing occlusion of the right common iliac artery. This was treated with faecal disimpaction, which eventually resulted in slow but full recovery.