Gastric rupture and massive pneumoperitoneum after bystander cardiopulmonary resuscitation

• Published in: The Journal of emergency medicine Vol. 21; no. 2; pp. 137 - 139
• Main Authors: Offerman, Steven R, Holmes, James F, Wisner, David H
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.08.2001; Elsevier
• Subjects: Adult; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; cardiopulmonary resuscitation; Cardiopulmonary Resuscitation - adverse effects; complication; CPR; Emergencies; Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care; gastric rupture; Humans; Intensive care medicine; Male; Medical sciences; pneumoperitoneum; Pneumoperitoneum - diagnostic imaging; Pneumoperitoneum - etiology; Radiography; Stomach Rupture - diagnosis; Stomach Rupture - etiology; tension pneumoperitoneum; Treatment Outcome; pneumoperitoneum; cardiopulmonary resuscitation; complication; tension pneumoperitoneum; CPR; gastric rupture; Case study; Human; Stomach; Iatrogenic; Perforation; Pneumoperitoneum; Abdominal disease; Digestive diseases; Cardiopulmonary; Complication; Resuscitation; Gastric disease
• ISSN: 0736-4679; 2352-5029
• DOI: 10.1016/S0736-4679(01)00357-2

Gastric perforation is a rare complication of cardiopulmonary resuscitation. The majority of reported cases have been associated with difficult airway management or esophageal intubation. There has been only one previous case report in which this complication could be attributed solely to mouth-to-mouth ventilation. We present a case of simple bystander cardiopulmonary resuscitation that resulted in gastric perforation.