Non-operative management of gastric perforation secondary to cardiopulmonary resuscitation.
We report the case of a 72-year-old male who suffered a cardiac arrest during an early positive treadmill stress test. After successful resuscitation the patient had evidence of a gastric perforation. Because of his hemodynamic stability, lack of peritoneal signs, and prohibitively high surgical risk, a non-operative management approach was successfully administered. Although not the standard approach to traumatic gastric perforation, this case is not unlike the management of peptic ulcer perforations. A non-operative approach should be considered as an option in selected patients.
Low
L L
LL
Critical Care Medicine Service, Walter Reed Army Medical Center, Washington, DC 98431-5000.
Ripple
G R
GR
Bruderer
B P
BP
Harrington
G R
GR
D000368:Aged; D001803:Blood Transfusion; D016887:Cardiopulmonary Resuscitation / Q000009:adverse effects*; D006801:Humans; D007441:Intubation, Gastrointestinal; D008297:Male; D011859:Radiography; D013270:Stomach / Q000293:injuries*; D014945:Wound Healing; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*