Abdominal compartment syndrome (ACS), which develops due to intra-abdominal hypertension, is a serious condition characterized by organ dysfunction and potential failure. In cats and dogs, this syndrome can occur due to various underlying causes such as trauma, gastrointestinal obstruction, or pancreatitis. The aim of this review article was to provide fundamental information on the pathogenesis, early diagnosis, and effective management of ACS in cats and dogs. Diagnosis of Abdominal compartment syndrome may involve a combination of clinical assessment, laboratory tests, and imaging techniques such as ultrasound. Treatment strategies for ACS generally focus on reducing intra-abdominal pressure and providing supportive care, while surgical intervention is preferred in severe cases. The prognosis depends on factors such as the type of underlying cause, the severity of organ dysfunction, and the importance of timely intervention. Ultimately, veterinary clinicians need to focus on gaining a better understanding of the pathophysiology of this syndrom in cats and dogs, and evaluating effective diagnostic and treatment approaches. This can lead to better outcomes for affected patients.