Abstract
A 7-year-old girl was diagnosed with traumatic spleen injury (IIIa) caused by abdominal contusion. Shock persisted after transcatheter arterial embolization. The abdominal distension suggested the presence of abdominal compartment syndrome (ACS) due to hemorrhagic ascites. The shock rapidly improved after peritoneal drainage. Accurate diagnosis of ACS requires the measurement of intra-abdominal pressure, which can be difficult. Hence, intra-vesical pressure (IVP) was used as a substitute. In cases of pediatric ACS, accurate diagnosis and rapid treatment, by recognizing variations in normal IVP is important, along with understanding the definition of intra-abdominal hypertension and ACS and the method of measuring IVP between children and adults.
