Habibullah N, Soomar SM, Ali N. Pneumoperitoneum following cardiopulmonary resuscitation: An unusual case.
Int J Surg Case Rep 2022;
99:107649. [PMID:
36116305 PMCID:
PMC9568792 DOI:
10.1016/j.ijscr.2022.107649]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Revised: 09/09/2022] [Accepted: 09/09/2022] [Indexed: 11/12/2022] Open
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.
Pneumoperitoneum due to gastric perforation is a rare surgical complication if left untreated, can result in morbidity and mortality.
It is unusual to experience spontaneous pneumoperitoneum after cardiopulmonary resuscitation.
We should promote cardiopulmonary resuscitation training for both medical and non-medical personnel.
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