¹Kalp Damar Cerrahisi AD, Başkent Üniversitesi Tıp Fakültesi, Ankara DOI : 10.9739/uvcd.2016-53332 Ruptured abdominal aortic aneurysm (r-AAA) that causes a high preoperative morbidity and mortality remains an important issue since it needs rapid diagnosis and surgical repair. Upon advancements in technology and increased experience in pathologies related to aortic aneurysm, endovascular repair techniques have found more place over open surgery. However, intra-abdominal hypertension and abdominal compartment syndrome (ACS) are serious complications after endovascular aortic repair (EVAR) for r-AAA. ACS is observed in approximately 30% of patients that have repair for a ruptured abdominal aortic aneurysm, and is associated with a mortality rate of approximately 70%. If not recognized early and not treated in a correct manner, ACS may lead to progressive organ failure and death. The preferred treatment of ACS is to perform a laparotomy for decompression. Abdominal decompression therapy in patients with ACS is accepted as a life saving procedure. In this short report, we aimed to share our case with abdominal compartment syndrome after treating the patient with EVAR due to a ruptured abdominal aortic aneurysm, and to review the literature. Keywords : Endovascular procedures; aneurysm, ruptured; compartment syndromes