title: 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.affiliation: Department of Surgery, Hurley Medical Center, Flint, Michigan 48503, USA.
authors.forename: Jeffrey Alan
authors.initials: JA
authors.lastname: Reichardt
authors.forename: Gregory Dale
authors.initials: GD
authors.lastname: Casey
authors.forename: Diann
authors.initials: D
authors.lastname: Krywko
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000009:adverse effects*; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008478:Mediastinal Emphysema / Q000150:complications; D008875:Middle Aged; D011027:Pneumoperitoneum / Q000150:complications; D012640:Seizures / Q000150:complications*; D013275:Stomach Rupture / Q000175:diagnosis / Q000209:etiology*; D014839:Vomiting / Q000150:complications