McBeth, Paul B.Dunham, MichaelBall, Chad G.Kirkpatrick, Andrew W.2018-09-272018-09-272012-12-17Paul B. McBeth, Michael Dunham, Chad G. Ball, and Andrew W. Kirkpatrick, “Correct the Coagulopathy and Scoop It Out: Complete Reversal of Anuric Renal Failure through the Operative Decompression of Extraperitoneal Hematoma-Induced Abdominal Compartment Syndrome,” Case Reports in Medicine, vol. 2012, Article ID 946103, 6 pages, 2012. doi:10.1155/2012/946103http://hdl.handle.net/1880/108323https://doi.org/10.11575/PRISM/44482We report two cases of extraperitoneal compression of the intra-abdominal space resulting in abdominal compartment syndrome (ACS) with overt renal failure, which responded to operative decompression of the extra-peritoneal spaces. This discussion includes patient presentation, clinical course, diagnosis, interventions, and outcomes. Data was collected from the patient’s electronic medical record and a radiology database. ACS appears to be a rare but completely reversible complication of both retroperitoneal hematoma (RH) and rectus sheath hematoma (RSH). In patients with large RH or RSH consideration of intra-abdominal pressure (IAP) monitoring combined with aggressive operative drainage after correction of the coagulopathy should be considered. These two cases illustrate how a relatively benign pathology can result in increased IAP, organ failure, and ultimately ACS. Intervention with decompressive laparotomy and evacuation of clot resulted in return to normal physiologic function.Journal Article2018-09-27enCopyright © 2012 Paul B. McBeth et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.https://doi.org/10.1155/2012/946103