摘要:Abstract Background : Abdominal compartment syndrome is a severe condition of tension generated within the closed abdominal cavity from perforation of peptic ulcer. Due to the chemical reaction and pressure consequences it has poor prognosis with very high mortality > 80%. Study method : We present a case study of one patient who developed abdominal compartment syndrome and survived as a result of prompt intervention. The patient had acute abdomen due to perforated gastric ulcer that resulted in leakage of gastric contents into the peritoneal cavity and build up of tension due to chemical irritation and gases. Urgent laparotomy with correction of the electrolyte imbalance and supporting intensive care was provided. The patient recovered from cardiac arrest that was reversed with some residual brain damage. Conclusion: Effective, prompt recognition and appropriate emergency interventions are key to the survival of victims of abdominal compartment syndrome that otherwise has a very high mortality. The primary care physician and emergency care practitioners play a critical role in the early recognition and initial management of patients with this condition.