title: Fatal splenic rupture following Heimlich maneuver: case report and literature review.
abstract: The most effective resuscitative procedure in choking by foreign bodies is the Heimlich maneuver, described for the first time by Henry Heimlich (1974) and recognized by the US Surgeon General (1985) as the "only method that should be used for the treatment of choking from foreign body airway obstruction." If performed correctly, this lifesaving maneuver is associated with rare complications, of which the most frequent are rib fractures and gastric or esophagus perforations. Other rare traumatic injuries such as pneumomediastinum, aortic valve cusp rupture, diaphragmatic herniation, jejunum perforation, hepatic rupture, or mesenteric laceration have been described.However, we are unaware of previous reports of splenic rupture after Heimlich maneuver. We present an interesting case of fatal hemoperitoneum due to a hilar laceration of the spleen following a correctly performed Heimlich maneuver.
authors.affiliation: Department of Environmental Medicine and Public Health, Legal Medicine, University of Padova, Via Falloppio, Padova, Italy. giocecchetto@yahoo.it
authors.forename: Giovanni
authors.initials: G
authors.lastname: Cecchetto
authors.forename: Guido
authors.initials: G
authors.lastname: Viel
authors.forename: Attilio
authors.initials: A
authors.lastname: Cecchetto
authors.forename: Stefano
authors.initials: S
authors.lastname: Kusstatscher
authors.forename: Massimo
authors.initials: M
authors.lastname: Montisci
mesh_terms: D000369:Aged, 80 and over; D000402:Airway Obstruction / Q000628:therapy*; D001921:Brain / Q000473:pathology; D004630:Emergencies; D058734:Exsanguination / Q000209:etiology; D005392:First Aid / Q000009:adverse effects*; D049429:Forensic Pathology; D006801:Humans; D008099:Liver / Q000473:pathology; D008168:Lung / Q000473:pathology; D008297:Male; D013161:Splenic Rupture / Q000209:etiology* / Q000473:pathology