{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T17:34:24Z","timestamp":1740159264078,"version":"3.37.3"},"reference-count":44,"publisher":"Wiley","license":[{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Critical Care Research and Practice"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p><jats:italic>Objective<\/jats:italic>. To describe a profoundly immunocompromised (panleukopenia) child with septic shock who developed abdominal compartment syndrome (ACS) and was successfully treated with surgical decompression.<jats:italic>Design<\/jats:italic>. Individual case report.<jats:italic>Setting<\/jats:italic>. Pediatric intensive care unit of a tertiary children's hospital.<jats:italic>Patient<\/jats:italic>. A 32-month-old male with Fanconi anemia who underwent bone marrow transplantation (BMT) 5 days prior to developing septic shock secondary to<jats:italic>Streptococcus viridans<\/jats:italic>and<jats:italic>Escherichia coli<\/jats:italic>ACS developed after massive fluid resuscitation, leading to cardiopulmonary instability.<jats:italic>Interventions<\/jats:italic>. Emergent surgical bedside laparotomy and silo placement.<jats:italic>Measurements and Main Results<\/jats:italic>. The patient's cardiopulmonary status stabilized after decompressive laparotomy. The abdomen was closed and the patient survived to hospital discharge without cardiac, respiratory, or renal dysfunction.<jats:italic>Conclusions<\/jats:italic>. The use of laparotomy and silo placement in an unengrafted BMT patient with ACS and septic shock did not result in additional complications. Surgical intervention for ACS is a reasonable option for high risk, profoundly immunocompromised patients.<\/jats:p>","DOI":"10.1155\/2010\/102910","type":"journal-article","created":{"date-parts":[[2010,6,23]],"date-time":"2010-06-23T14:35:27Z","timestamp":1277303727000},"page":"1-5","source":"Crossref","is-referenced-by-count":5,"title":["Decompressive Abdominal Laparotomy for Abdominal Compartment Syndrome in an Unengrafted Bone Marrow Recipient with Septic Shock"],"prefix":"10.1155","volume":"2010","author":[{"given":"Derrick J. 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