Pneumoperitoneum following cardiopulmonary resuscitation: An unusual case
Introduction and importance: High-quality cardiopulmonary resuscitation (CPR) is the foundation of cardiac arrest resuscitation. Pneumoperitoneum due to gastric perforation is a rare surgical complication of CPR that, if left untreated, can result in significant morbidity and mortality.
Case presentation: We present a 51-year-old male patient with sealed perforation who received an urgent but non-diagnostic exploratory laparotomy after initial esophageal intubation and resuscitation in cardiac arrest, despite significant evidence of surgical pneumoperitoneum.
Clinical discussion: It is unusual to experience spontaneous pneumoperitoneum after cardiopulmonary resuscitation. We should promote cardiopulmonary resuscitation training for both medical and non-medical personnel.
Conclusion: Early endotracheal intubation, avoidance of esophageal intubation, and quick insertion of an orogastric tube may reduce the risk of gastric perforation
International Journal of Surgery Case Reports
Soomar, S. M.,
(2022). Pneumoperitoneum following cardiopulmonary resuscitation: An unusual case. International Journal of Surgery Case Reports, 99.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_emerg_med/293