Weil's disease and abdominal compartment syndrome

Purpose: To report a rare complication of Weil’s disease. Report of case: A 47-years-old man was referred to ICU of our hospital in shock. The clinical findings and the serological tests established the diagnosis of Weil’s disease. After the patient became haemodynamic stable, underwent a cholecystectomy for acute acalculous cholecystitis, while ten days later he developed abdominal compartment syndrome (ACS). The later, was successfully managed surgically, with decompression laparotomy, placement of a 3 lit TPN (Total Parenteral Nutrition) bag to cover the viscera and gradual closure of the abdomen by tying the tension sutures each time more tight. The patient returned home after two months of hospitalization, in a good general condition. Conclusion: Patients with Weil’s disease seem to be susceptible to the development of ACS. The clinicians must be always suspicious for the possibility of its occurrence, in order to have an early diagnosis and a therapeutic surgical intervention.