Successful management of a rare and fatal complication of cardiac catheterization: Abdominal compartment syndrome

摘要

Retroperitoneal hematoma (RPH) is a potentially fatal complication of coronary angiography. The prevalence of RPH after cardiac catheterization is 0.04%–0.74% ( ). RPHs may result in abdominal pain, femoral neuropathy, need for transfusion, abdominal compartment syndrome (ACoS), acute kidney injury, and death. ACoS is consistent with intraabdominal pressure >25 mm Hg and is surgically treated ( ). Occurrence of ACoS after coronary angiography is a rare incident, and clinicians should suspect ACoS in the presence of clinical clues.