Abstract
Abdominal compartment syndrome can occur after abdominal trauma, liver transplants, postoperative intraabdominal haemorrhage, tense ascites, acute pancreatitis, ileus, intestinal obstruction and ruptured abdominal aortic aneurysm. In the case of ruptured abdominal aortic aneurysm, it is thought to arise because of retroperitoneal haematoma, coagulopathy and interstitial and retroperitoneal edema during the perioperative period. A 71-year-old man was given a diagnosis of ruptured infrarenal abdominal aortic aneurysm. Emergency aneurysmectomy and graft replacement was performed. And temporary abdominal closure was performed in order to prevent the development of acute abdominal compartment syndrome after operation. He discharged from hospital on postoperative day 30 and was doing well without any morbidity. Temporary abdominal closure is a good method to prevent acute abdominal compartment syndrome after ruptured abdominal aortic aneurysm.