Title

Pneumoperitoneum following cardiopulmonary resuscitation: An unusual case

Document Type

Case Report

Department

Emergency Medicine

Abstract

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

Comments

Issue and pagination are not provided by the author/publisher

Publication ( Name of Journal)

International Journal of Surgery Case Reports

Link to Full Text
COinS