Abstract
Abdominal compartment syndrome (ACS) is a critical condition characterized by increased intra-abdominal pressure and, if left untreated, can cause organ dysfunction and multiorgan failure. We present a case of an elderly man who developed ACS secondary to hemoperitoneum from a splenic artery laceration after multiple falls. Despite successful arterial embolization, the patients' ACS worsened considerably. Given his high surgical risk and advanced age, percutaneous catheter drainage was performed. The procedure was uneventful and led to the resolution of the ACS. This case highlights the importance of early recognition and close monitoring of intra-abdominal pressure and the utility of minimally invasive strategies for managing ACS in patients with high-surgical risk.