Painful paraplegia caused by spontaneous intraabdominal compartment syndrome: a new differenzial diagnosis?

We report of two patients with spontaneous non-traumatic paraplegia and concurrent severe abdominal pain. Within hours after admission both patients developed multiorgan failure with predominant fulminant hepatic failure. Aortic dissection, Leriche syndrome, spinal cord compression, Budd-Chiari syndrome, portal vein thrombosis and intoxications were excluded. One patient died after 12 hours. The Post-mortem revealed a spontaneous intraabdominal compartment syndrome. The second patient underwent emergency laparotomy and partially recovered. Abdominal compartment syndrome should be considered in all patients with…