Gastric Rupture and Tension Pneumoperitoneum Complicating Cardiopulmonary Resuscitation

Strear, Christopher M.; Jarnagin, William R.; Schecter, William P.; Mackersie, Robert C.; Hickey, Michael S.

doi:10.1097/00005373-199805000-00036

Cited by 22 publications

(13 citation statements)

References 7 publications

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“…12 According to different Authors, the lesions reported by Rabl et al have the same location we describe: after external cardiac massage for events different from drowning, the gastric injuries may locate at the cardias and lesser curve of the stomach too. [2][3][4][5][6][7][8][9][10][11][12] The location of the lesions we describe suggests also a combined effect by gastric water filling and external cardiac massage forces.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] Initial emergency external cardiac massage procedures in drowning subjects could also increase gastric pressure, causing gastric lesions or ruptures. [5][6][7][8][9] We report a case of gastric mucosal tears and wall micro perforations due to cardiopulmonary resuscitation in a woman after drowning in a swimming pool and examine medico-legal implications.…”

Section: Introductionmentioning

confidence: 99%

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Gastric mucosal tears and wall micro perforations after cardiopulmonary resuscitation in a drowning case

Broi

Moreschi

Castellani

et al. 2009

Journal of Forensic and Legal Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Gastric mucosal tears and wall micro perforations after cardiopulmonary resuscitation in a drowning case

Broi

Moreschi

Castellani

et al. 2009

Journal of Forensic and Legal Medicine

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“…67(6): 617-619, 2005 Pneumoperitoneum refers to the presence of gas within the peritoneal cavity resulting from a ruptured hollow viscus, penetrating abdominal wounds or bacterial peritonitis [1]. Life-threatening, massive pneumoperitoneum necessitating immediate needle decompression to improve cardior e s p i r a t o r y e m b a r r a s s m e n t , k n o w n a s t e n s i o n pneumoperitoneum, has been reported in humans [2,4,11,13]. However, few reports have documented similar cases in veterinary fields.…”

mentioning

confidence: 99%

“…In humans, tension pneumoperitoneum is a reportedly rare but life-threatening complication of gastric perforation [11]. Forceful ventilation is often associated with the progression of gas accumulation [4,11,13].…”

mentioning

confidence: 99%

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Tension Pneumoperitoneum Due to Gastric Perforation in a Cat

Itoh¹,

Nibe²,

Naganobu

2005

The Journal of Veterinary Medical Science

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ABSTRACT. A 14-year-old spayed female cat weighing 2.3 kg developed tension pneumoperitoneum that progressed for 6 hr. Abdominocentesis was performed and 1.3 L of gas was aspirated after which the cat's respiratory condition improved. The next day, the cat's abdomen redistended, and laparotomy was performed. A gastric perforation was noted and sutured after the margin was resection. The cat showed a good physical condition without any gastrointestinal signs at 6 months after surgery. KEY WORDS: feline, gastric perforation, tension pneumoperitoneum.J. Vet. Med. Sci. 67(6): 617-619, 2005 Pneumoperitoneum refers to the presence of gas within the peritoneal cavity resulting from a ruptured hollow viscus, penetrating abdominal wounds or bacterial peritonitis [1]. Life-threatening, massive pneumoperitoneum necessitating immediate needle decompression to improve cardior e s p i r a t o r y e m b a r r a s s m e n t , k n o w n a s t e n s i o n pneumoperitoneum, has been reported in humans [2,4,11,13]. However, few reports have documented similar cases in veterinary fields. This study reports the case of a cat that developed tension pneumoperitoneum secondary to gastric perforation and was treated with abdominocentesis followed by laparotomy.A 14-year-old spayed female, domestic shorthair cat weighing 2.3 kg presented with marked abdominal distension that had been progressing for 6 hr. For 1 week prior to admission, the cat had been anorexic after a transient episode of vomiting. The owner described 6 episodes of vomiting during a 4-month prior to admission, which had always been resolved with symptomatic therapy for gastritis. The cat had also been affected with chronic rhinitis for several years.At the time of admission, the cat was collapsed in a recumbent position and was tachypneic with ballooned, tympanic abdominal distension. Heart rate was 180 beats per minute, and rectal temperature was 34.2°C. The mucus membrane was pale and purulent nasal discharge was noticed. Abdominal radiography revealed massive pneumoperitoneum with cranial displacement of the diaphragm, centralization of the abdominal organs, and a small amount of air within the contracted stomach (Fig. 1). Initial hematological abnormalities included a mildly low packed cell volume (32%), severe neutrophilia (42,240 cells/µL), and mild lymphopenia (880 cells/µL). Plasma biochemical analysis revealed high protein (9.6 g/dl), urea nitrogen (72 mg/dl), sodium (158 mEq/L) and chloride concentrations (121 mEq/L), and a low glucose concentration (63 mg/dl). The cat was seropositive for feline immunodeficiency virus antibody.Since abdominal radiographs suggested high intraabdominal pressure reducing diaphragmatic compliance, abdominocentesis was performed and 1.3 L of air was aspirated. The cat's respiratory condition returned to almost normal. After administration of 5% glucose (20 ml, IV), cefazolin sodium (20 mg/kg, SC), and enrofloxacin (5 mg/ kg, IM), the cat returned to the owner's care at home because it was late at night. The next morning, the cat...

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Medical Malpractice

Madea¹

2022

Handbook of Forensic Medicine

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Gastric Rupture and Tension Pneumoperitoneum Complicating Cardiopulmonary Resuscitation

Cited by 22 publications

References 7 publications

Gastric mucosal tears and wall micro perforations after cardiopulmonary resuscitation in a drowning case

Gastric mucosal tears and wall micro perforations after cardiopulmonary resuscitation in a drowning case

Tension Pneumoperitoneum Due to Gastric Perforation in a Cat

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