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

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Unusual association of diseases/symptoms
CASE REPORT
Unusual surgical emergency in a patient of dengue haemorrhagic fever: spontaneous rectus sheath haematoma leading to abdominal compartment syndrome
  1. Supradip Ghosh1,
  2. Rajvinder Singh1,
  3. Sonali Ghosh2,
  4. 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}gmail.com

Summary

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.

  • infectious diseases
  • tropical medicine (infectious disease)
  • adult intensive care

https://doi.org/10.1136/bcr-2018-225936

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    Footnotes

    • 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.