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Ann Thorac Surg 2006;82:334-336
© 2006 The Society of Thoracic Surgeons

Case report

Abdominal Compartment Syndrome: A Rare Complication of Plication of the Diaphragm

Joideep Phadnis, MD a , John E. Pilling, MD a , Timothy W. Evans, MD, PhD b , Peter Goldstraw, MD a , *

a Department of Thoracic Surgery, Royal Brompton Hospital, London, United Kingdom
b Department of Intensive Care, Royal Brompton Hospital, London, United Kingdom

Accepted for publication August 22, 2005.

* Address correspondence to Prof Goldstraw, Department of Thoracic Surgery, Royal Brompton Hospital, Sydney Street, London, SW3 6NP United Kingdom (Email: p.goldstraw{at}rbh.nthames.nhs.uk).

Abdominal compartment syndrome is an increasingly recognized phenomenon. We report the case of an otherwise fit and healthy 42-year-old man who underwent plication of the right hemidiaphragm for idiopathic phrenic paresis. His postoperative recovery was complicated by abdominal compartment syndrome, which was managed conservatively. We believe this is the only report of this complication after diaphragmatic plication and one of very few reported thoracic causes of abdominal compartment syndrome.






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Copyright © 2006 by The Society of Thoracic Surgeons.