الفهرس 
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Abstract
Background: Compartment syndrome is a condition in which increased pressure is confined to anatomical space adversely affects circulation and threatens perfusion of tissues therein. In parallel, the abdominal cavity can be considered as a single compartment and any change in volume of any content will elevate intraabdominal pressure. Abdominal compartment syndrome results when an acute increase in intra-abdominal pressure occurs that are sufficient to compromise vascular inflow, threatening the viability of the tissues and organs within the abdomen
Aim of Work: To evaluate the effect of increased intra-abdominal pressure and abdominal compartment syndrome on various body systems and to early recognize and treat the patients with abdominal compartment syndrome and to assess the effect of time factor before surgical decompression on vital organs.
Methods: This prospective study conducted on 40 patients in Mansoura university hospital and Mansoura emergency hospital from February 2009 to February 2012. . There were 40 patients with a mean age of about 48.95years and ranged from 17 -80 years. The body mass index (BMI) ranged from 22-36 with a mean of 31, 66.Measurement of intra-abdominal pressure via indwelling urinary catheter.
Results: The concept of the abdominal compartment syndrome recognized more in trauma and non-trauma patients. Intraabdominal hypertension adversely affects almost all body systems. These physiologic aberrations may result in organ dysfunction and failure, it is therefore important to anticipate intraabdominal hypertension and establish treatment.
Conclusions: These results suggest that, early detection of cases with IAH and ACS and manage it properly may be curative and we decrease multi-organ dysfunction and mortality in such cases and avoid early abdominal closure which may be distressing to the patients.