ArticleCureus2026
Abdominal Compartment Syndrome Following Massive Transfusion in Upper Gastrointestinal Bleeding: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Abdominal compartment syndrome (ACS) is defined as sustained intra-abdominal pressure (IAP) exceeding 20 mmHg, leading to organ hypoperfusion and dysfunction. Although most cases arise from intra-abdominal or retroperitoneal hemorrhage, ACS may also occur after massive transfusion due to capillary leak and fluid overload. We describe an 82-year-old man presenting with upper gastrointestinal bleeding from a duodenal ulcer who required massive transfusion. During resuscitation, he developed progressive ventilatory failure with rising airway pressures and refractory hypoxemia. Intra-vesical IAP measured 85 mmHg, confirming severe ACS. Emergency decompressive laparotomy evacuated over two liters of serous fluid and revealed a markedly distended bowel filled with intraluminal blood but no hemoperitoneum. Ventilatory parameters improved immediately after decompression. Despite timely surgical intervention and intensive supportive care, the patient developed renal failure, acute respiratory distress syndrome (ARDS), methicillin-resistant
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