Shock and dyspnea after cardiopulmonary resuscitation: a case of iatrogenic gastric rupture.
Chir Ital
; 52(5): 593-6, 2000.
Article
en En
| MEDLINE
| ID: mdl-11190556
Rupture of the stomach is a rarely reported complication of cardiopulmonary resuscitation. The number of cases reported in the literature since 1970 does not exceed 30. We present a recent case of a young woman submitted to cardiopulmonary resuscitation in whom a gastric rupture gave rise to massive pneumoperitoneum with haemodynamic shock and respiratory failure. Major distension of the abdomen and an extensive subcutaneous emphysema were present. After re-establishing the haemodynamic conditions and a diagnostic spiral thoracic-abdomen CT scan, an emergency laparoptomy was performed. We found two linear defects of the lesser curvature of the stomach, which were treated by closure with a primary interrupted two-layer suture. The postoperative recovery was uneventful. Iatrogenic gastric rupture carries a high risk of mortality. A prompt diagnosis and emergency surgical repair are essential for patient survival.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Choque
/
Rotura Gástrica
/
Reanimación Cardiopulmonar
/
Disnea
Límite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Chir Ital
Año:
2000
Tipo del documento:
Article
Pais de publicación:
Italia