Abdominal decompression with Bogota bag in a trauma patient: A case report | [Pakistan Journal of Surgery • 2022]

Author(s):

1. Ahmed Albani: Sheikh Khalifa General Hospital, Umm Al-Quwain, United Arab Emirates

2. Azam Yusuf: Sheikh Khalifa General Hospital, Umm Al-Quwain, United Arab Emirates

3. Maryam Al Ali: Sheikh Khalifa General Hospital, Umm Al-Quwain, United Arab Emirates

4. Taher Helmy: Sheikh Khalifa General Hospital, Umm Al-Quwain, United Arab Emirates

5. Raed Naji: Sheikh Khalifa General Hospital, Umm Al-Quwain, United Arab Emirates

6. Hessa Abbas: Sheikh Khalifa General Hospital, Umm Al-Quwain, United Arab Emirates

Abstract:

Abdominal Compartment Syndrome (ACS) is a feared complication that can lead to severe consequences like organ failure, can ultimately be fatal if not managed appropriately. Th e objective of this case report is to highlight a successful preventative measure used to avoid such complications. A 21-year-old patient severely injured in an industrial accident sustained multiple serious and possibly fatal injuries. Th e most severe was a large wound across the abdomen, exposing the peritoneum and viscera. A life saving damage control surgery was performed through midline Exploratory Laparotomy to achieve hemostasis of major liver trauma with perihepatic packing. Temporary closure with Bogota bag was done to prevent intra-abdominal compartment syndrome and remove the packs in the second look operation. Proper techniques are very crucial in the management of abdominal compartment syndrome. hT erefore, temporary abdominal closure with the use of a Bogota bag is a relatively safe and ef ective way of managing such a serious case.

Page(s): 48-53

DOI: DOI not available

Published: Journal: Pakistan Journal of Surgery, Volume: 38, Issue: 1, Year: 2022

Keywords:

Trauma , Exploratory laparotomy , abdominal compartment syndrome ACS , Bogota bag , Abdominal decompression

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