Analysis of treatment of large abdominal malignancies in children complicated with abdominal compartment syndrome

Le Xiang Zeng, Yao Hao Wu, Li Na, Rong Lin Qiu, Jia Jia Zhou, Wen Li Jiang, Jie Zhang, Xiao Geng Deng

Research output: Contribution to journalArticle

Abstract

To explore effective treatment of large abdominal malignancies in children complicated with abdominal compartment syndrome (ACS). Six children with large abdominal malignancies complicated with ACS were admitted to our department from January 2013 to January 2016, and the changes in their breathing, heart rate, oxygen saturation, abdominal circumference, bladder pressure, and urine output, as well as the treatment measures and outcomes, were retrospectively analyzed. The 6 children included 1 child with bilateral nephroblastoma, 1 child with abdominal alveolar rhabdomyosarcoma, 1 child with right ovarian malignant teratoma complicated with abdominal glioma, 1 child with abdominal malignant teratoma, 1 child with right nephroblastoma, and 1 child with left adrenal gland neuroblastoma. All patients were treated in a timely manner. The first 4 children underwent abdominal cavity decompression through surgical resection of the tumor, and the ACS was successfully cured allowing for follow-up care, whereas the last 2 patients failed to receive emergency surgery and eventually died due to the gradual aggravation of ACS. Decompression through surgical resection of the tumor is the only effective measure for treating large abdominal malignancies in children complicated with ACS.

Original languageEnglish (US)
Article numbere6705
JournalMedicine (United States)
Volume96
Issue number17
DOIs
StatePublished - Apr 1 2017

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Intra-Abdominal Hypertension
Neoplasms
Therapeutics
Wilms Tumor
Teratoma
Alveolar Rhabdomyosarcoma
Lower Body Negative Pressure
Surgical Decompression
Aftercare
Abdominal Cavity
Adrenal Glands
Neuroblastoma
Glioma
Respiration
Urinary Bladder
Emergencies

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Analysis of treatment of large abdominal malignancies in children complicated with abdominal compartment syndrome. / Zeng, Le Xiang; Wu, Yao Hao; Na, Li; Qiu, Rong Lin; Zhou, Jia Jia; Jiang, Wen Li; Zhang, Jie; Deng, Xiao Geng.

In: Medicine (United States), Vol. 96, No. 17, e6705, 01.04.2017.

Research output: Contribution to journalArticle

Zeng, Le Xiang ; Wu, Yao Hao ; Na, Li ; Qiu, Rong Lin ; Zhou, Jia Jia ; Jiang, Wen Li ; Zhang, Jie ; Deng, Xiao Geng. / Analysis of treatment of large abdominal malignancies in children complicated with abdominal compartment syndrome. In: Medicine (United States). 2017 ; Vol. 96, No. 17.
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