RT Journal Article
SR Electronic
T1 Massive faecal impaction leading to abdominal compartment syndrome and acute lower limb ischaemia
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr-2018-225202
DO 10.1136/bcr-2018-225202
VO 2018
A1 Simon Ho
A1 Russel Krawitz
A1 Bill Fleming
YR 2018
UL http://casereports.bmj.com/content/2018/bcr-2018-225202.abstract
AB Abdominal compartment syndrome (ACS) is associated with significant morbidity and mortality requiring prompt treatment. We report a rare case of a 57-year-old man who developed acute lower limb ischaemia, severe metabolic acidosis and renal impairment from massive faecal impaction of unknown aetiology resulting in ACS causing occlusion of the right common iliac artery. This was treated with faecal disimpaction, which eventually resulted in slow but full recovery.