BMJ Case Reports 2018; doi:10.1136/bcr-2018-225936
  • Unusual association of diseases/symptoms

Unusual surgical emergency in a patient of dengue haemorrhagic fever: spontaneous rectus sheath haematoma leading to abdominal compartment syndrome

  1. Aayush Chawla1
  1. 1Department of Critical Care Medicine, Fortis-Escorts Hospital, Faridabad, Haryana, India
  2. 2Department of Paediatric Critical Care Medicine, Indraprastha Apollo Hospital, New Delhi, New Delhi, India
  1. Correspondence to Dr Supradip Ghosh, intensivist1972{at}
  • Accepted 26 June 2018
  • Published 10 July 2018


Abdominal compartment syndrome (ACS) is an uncommon complication of dengue haemorrhagic fever (DHF), described so far only in association with fluid refractory shock and high-volume resuscitation. We describe an unusual case of ACS in a patient of DHF where raised intra-abdominal pressure was due to spontaneous rectus sheath haematoma causing external compression. Early recognition of the haematoma, constant vigilance and timely decision for surgical intervention could salvage the patient with complete recovery of organ function.


  • Contributors SG: conception and writing of the article. RS: contributed in compiling data and reviewing the manuscript. SG and AC: reviewing the manuscript. All authors contributed in the management of the patient.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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