Gastric rupture from cardiopulmonary resuscitation or seizure activity? A case report.
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.
Reichardt
Jeffrey Alan
JA
Department of Surgery, Hurley Medical Center, Flint, Michigan 48503, USA.
Casey
Gregory Dale
GD
Krywko
Diann
D
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