Cardiac ascites presenting as abdominal compartment syndrome – A case report

Authors

  • Rajib Hasan Jr Consultant, ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204, Bangladesh
  • Md Motiul Islam Consultant, ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria Dhaka-1204, Bangladesh
  • Shakera Binte Hassan Clinical Staff, ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204, Bangladesh
  • Aminul Karim Ansari Resident Medical Officer, ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204, Bangladesh
  • Tarikul Hamid Associate Consultant, ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204, Bangladesh
  • Mohammad Rabiul Halim Associate Consultant, ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204, Bangladesh
  • Kazi Nuruddin Ahmed Associate Consultant, ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204, Bangladesh
  • AHM Hafizur Rahman Specialist, ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204, Bangladesh
  • Md Atiquzzaman Sr Clinical Staff, ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204, Bangladesh
  • Md Mazharul Hoque Clinical Staff, ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204, Bangladesh
  • Tasnia Nushrat Resident Medical Officer, ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204, Bangladesh

DOI:

https://doi.org/10.3329/bccj.v10i2.62210

Keywords:

Congestive cardiac failure, Cardiac ascites, intra-abdominal hypertension, abdominal compartment syndrome.

Abstract

Ascites is an infrequent presentation of poorly controlled congestive cardiac failure. Tense ascites due to heart failure is more infrequent. Whenever there is tense ascites, intra-abdominal hypertension should always be considered. The most deleterious effect of intra-abdominal hypertension is abdominal compartment syndrome. It is a condition that is frequently overlooked and underdiagnosed. Abdominal compartment syndrome is a medical as well as surgical emergency which should be promptly diagnosed and adequately managed; otherwise, it may lead to multiple organ failure and death. Here we present a patient with congestive cardiac failure leading to huge ascites, intra-abdominal hypertension and abdominal compartment syndrome.

Bangladesh Crit Care J September 2022; 10(2): 149-153

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Published

2022-10-18

How to Cite

Hasan, R. ., Islam, M. M. ., Hassan, S. B. ., Ansari, A. K. ., Hamid, T., Halim, M. R. ., Ahmed, K. N. ., Rahman, A. H. ., Atiquzzaman, M., Hoque, M. M., & Nushrat, T. (2022). Cardiac ascites presenting as abdominal compartment syndrome – A case report. Bangladesh Critical Care Journal, 10(2), 149–153. https://doi.org/10.3329/bccj.v10i2.62210

Issue

Section

Case Reports