Ho Simon, Krawitz Russel, Fleming Bill
General and Endocrine Surgery, Footscray Hospital, Footscray, Victoria, Australia.
BMJ Case Rep. 2018 Jun 20;2018:bcr-2018-225202. doi: 10.1136/bcr-2018-225202.
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.
腹腔间隔室综合征（ACS）与严重的发病率和死亡率相关，需要及时治疗。我们报告了一例罕见病例，一名57岁男性因不明病因的大量粪块嵌塞导致急性下肢缺血、严重代谢性酸中毒和肾功能损害，进而引发ACS，导致右髂总动脉闭塞。通过解除粪块嵌塞进行治疗，最终患者缓慢但完全康复。
