Gastric rupture from cardiopulmonary resuscitation or seizure activity? A case report.

Abstract

Ascertaining the cause of a gastric rupture is difficult and can be complicated by events occurring in the pre-hospital phase of patient care. To our knowledge, only seven cases of cardiopulmonary resuscitation (CPR)-related injuries to the stomach have been reported in the literature since 1997. We found no reports of seizure-related gastric injury. We present the case of a patient who sustained a gastric rupture, tension pneumoperitoneum, and a tension pneumomediastinum after retching, seizure, CPR, and advanced cardiac life support maneuvers.

• Authors: Jeffrey Alan Reichardt, Gregory Dale Casey, Diann Krywko
• Journal: The Journal of emergency medicine (J Emerg Med) Vol. 39 Issue 3 Pg. 309-11 (Sep 2010) ISSN: 0736-4679 [Print] United States
• PMID: 18394850 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2010 Elsevier Inc. All rights reserved.

Topics

• Cardiopulmonary Resuscitation (adverse effects)
• Diagnosis, Differential
• Fatal Outcome
• Humans
• Male
• Mediastinal Emphysema (complications)
• Middle Aged
• Pneumoperitoneum (complications)
• Seizures (complications)
• Stomach Rupture (diagnosis, etiology)
• Vomiting (complications)