What is it about?
This is a case report about a middle aged lady who presented with a large ovarian cyst. This cyst measured up to 23cm in diameter and had torted along its axis. The torted ovarian cyst, due to its size, had caused an increase in the pressure within the abdominal cavity causing what is known as an abdominal compartment syndrome. This caused the bowel and kidneys to work poorly, resulting in difficulty in the large bowel to contract normally and the kidneys to produce urine. The lady resulted in undergoing an operation that removed this cyst that was found not to be malignant. The case report further discusses the management of abdominal compartment syndrome including the types, investigations, warning signs and its management.
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Why is it important?
Abdominal compartment syndrome is a potentially fatal condition that can be detected quite easily. Through understanding its definition, and knowing its signs and symptoms can help detect it early to prevent unnecessary invasive interventions.
Perspectives
As a doctor, it is uncommon to see abdominal compartment syndrome. Although we are taught this in medical school, its presentations are uncommon and can often be missed.
Tae jun KIM
Liverpool Hospital
Read the Original
This page is a summary of: Impending abdominal compartment syndrome from a giant ovarian cyst torsion, Australian and New Zealand Journal of Surgery, September 2017, Wiley,
DOI: 10.1111/ans.14147.
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