• M Hessmann and P Rommens.
• Department of Traumatology, University Hospitals of the Johannes-Gutenberg University, Mainz, Germany.
• J Orthop Trauma. 1998 Nov 1; 12 (8): 553-7.

ObjectivesTo describe an intrapelvic compartment syndrome analogous to abdominal compartment syndrome and to characterize its diagnosis and treatment.DesignRetrospective analysis.SettingLevel I trauma center.PatientsThree patients with pelvic ring or acetabular fractures presented with bilateral ureteral obstruction, renal organ failure, and anuria due to direct compression of both ureters in the true pelvis by a massive retroperitoneal hematoma.InterventionSurgical therapy consisted of fracture stabilization, decompression of the retroperitoneal space, and evacuation of the hematoma. Persistent isolated bleeding points were either embolized preoperatively or ligated.ResultsAfter decompression, all three patients promptly recovered their renal organ function.ConclusionAn intrapelvic compartment syndrome can be defined as bilateral ureteral obstruction and renal failure caused by a massive intrapelvic hematoma with increased retroperitoneal pressure. Diagnostic differentiation of anuria in patients with pelvic ring or acetabular fractures must include intrapelvic compartment syndrome. Early diagnosis and treatment are mandatory.

24 keywords...

hide…