Gastric perforation following improper cardiopulmonary resuscitation in out-of-hospital cardiac arrest

Gastric perforation after cardiopulmonary resuscitation

  • Guang-Ju Zhou, PhD Second Affiliated Hospital, Zhejiang University School of Medicine
  • Pin Jin, MD. Zhejiang Yuyao People's Hospital
  • Shou-Yin Jiang Second Affiliated Hospital, Zhejiang University School of Medicine
Keywords: Gastric perforation, Cardiopulmonary resuscitation, Pneumoperitoneum, Case report

Abstract

Gastric perforation is a rare complication of cardiopulmonary resuscitation (CPR), mostly resulting from incorrect airway management. If left unrecognized, it is associated with high mortality and morbidity. We present a case of gastric perforation after improper CPR. A 56-year-old drunken male was sent to the emergency department due to coma after fall onto the ground. He was thought to have cardiac arrest at scene and was saved with CPR maneuver by his friends who has never been trained before. He was taken to the hospital by emergency medical service personnel and presented with abdominal distention and extensive pneumoperitoneum. Emergency laparotomy was performed which revealed gastric perforation at the lesser curvature of the stomach. The laceration was repaired without any difficulty and the patient was discharged home without any neurological deficit. The aim of this report is to remind the public and emergency physicians that gastric perforation should be suspected in patients with distended abdomen and pneumoperitoneum after CPR. Because the most common risk factor for CPR-related gastric perforation is the bystander-provided resuscitation, it is encouraged for the public to take formal CPR training.

doi: https://doi.org/10.12669/pjms.36.2.1363

How to cite this:
Zhou GJ, Jin P, Jiang SY. Gastric perforation following improper cardiopulmonary resuscitation in out-of-hospital cardiac arrest. Pak J Med Sci. 2020;36(2):296-298. doi: https://doi.org/10.12669/pjms.36.2.1363

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2019-12-17