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Abdominal Compartment Syndrome Secondary to Ovarian Mucinous Cystadenoma

Anne Chao, MD^*, Angel Chao, MD, Yu Shiuan Yen, MD^* and Chi-Hsiang Huang, MD^*

*Department of Anesthesiology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan; and Department of Obstetrics and Gynecology, Graduate Institute of Clinical Medical Sciences, Chang Gung Memorial Hospital and University, Taipei, Taiwan

Address reprint requests to: Chi-Hsiang Huang, MD, Department of Anesthesiology, National Taiwan University Hospital and National Taiwan University College of Medicine, 7, Chung-Shan South Road, Taipei, Taiwan: e-mail: chuang{at}ha.mc.ntu.edu.tw.

BACKGROUND: Abdominal compartment syndrome secondary to a very large benign ovarian tumor has been rarely reported in gynecology. With the increase of intraabdominal pressure in abdominal compartment syndrome, all major organ systems are adversely affected, causing a potentially fatal condition.

CASE: A 43-year-old woman presenting with a tensely distended abdomen developed hypotension, difficulty in ventilation, and anuria. An ovarian tumor complicated by abdominal compartment syndrome was diagnosed, along with hemodynamic decompensation. Prompt resuscitation with immediate surgical removal of the tumor reversed the life-threatening situation.

CONCLUSION: Timely aggressive resuscitation, prompt surgical decompression, and intensive perioperative hemodynamic management are required for patients with ovarian mucinous cystadenoma complicated by abdominal compartment syndrome.

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