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Liver laceration related to cardiopulmonary resuscitation

View Article: PubMed Central - PubMed

ABSTRACT

Cardiopulmonary resuscitation (CPR) is recognized as a medical procedure performed to maintain vital functions of a person whose cardiac and respiratory functions have stopped. Chest compression is the most essential component of CPR and it is performed on the lower half of the sternum. During CPR, many complications may occur because of chest compressions, especially chest injuries including sternum and rib fractures. Rarely tracheal injury, rupture of the stomach, or liver or spleen injury may also occur as complications.

In this study, we present two cases of liver injury caused by resuscitation. With this article, we want to emphasize the importance of making correct chest compressions.

No MeSH data available.


Related in: MedlinePlus

Case 1; 7 cm long blunt laceration was detected 0.5 cm deep on the surface of right lobe of the liver (A) and 3 × 4 cm big subcapsular hematoma was observed on the diaphragm side of the laceration (B).
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fig1: Case 1; 7 cm long blunt laceration was detected 0.5 cm deep on the surface of right lobe of the liver (A) and 3 × 4 cm big subcapsular hematoma was observed on the diaphragm side of the laceration (B).

Mentions: A 26 year old female patient with complaints of chest pain, palpitations, and sudden collapse, was brought to the Emergency Department by the 112 emergency resuscitation team. During the examination, due to the diagnosis of an arrest, CPR was started. After 60 min of not responding to CPR, the patient was recognized as exitus and the suspicious death was reported. In the autopsy performed due to the suspicious death, no findings related to the trauma was detected. However, in the examination of the thorax a 6 × 8 cm big soft tissue bleed was observed on the right side of the inner surface of the ribs. It was found that the left 1st–4th ribs and the right 2nd–5th ribs, were broken on the midclavicular line. This was thought to happen during the process of resuscitation. Having opened the abdomen, 700 cc of blood was aspirated. In the inner abdominal examination, a 7 cm long blunt laceration was detected 0.5 cm deep to the surface of right lobe of the liver. In addition, a 3 × 4 cm big subcapsular hematoma was observed on the diaphragm side of the laceration (Fig. 1). Moreover, blood leakage was found in the liver, in the area close to the gallbladder, where veins enter and exit from liver. Having analyzed findings from the scene examination, internal and external findings from the autopsy and judicial investigation files, it was suggested that the reason for death was sudden heart disease (acute arrhythmia).


Liver laceration related to cardiopulmonary resuscitation
Case 1; 7 cm long blunt laceration was detected 0.5 cm deep on the surface of right lobe of the liver (A) and 3 × 4 cm big subcapsular hematoma was observed on the diaphragm side of the laceration (B).
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5121265&req=5

fig1: Case 1; 7 cm long blunt laceration was detected 0.5 cm deep on the surface of right lobe of the liver (A) and 3 × 4 cm big subcapsular hematoma was observed on the diaphragm side of the laceration (B).
Mentions: A 26 year old female patient with complaints of chest pain, palpitations, and sudden collapse, was brought to the Emergency Department by the 112 emergency resuscitation team. During the examination, due to the diagnosis of an arrest, CPR was started. After 60 min of not responding to CPR, the patient was recognized as exitus and the suspicious death was reported. In the autopsy performed due to the suspicious death, no findings related to the trauma was detected. However, in the examination of the thorax a 6 × 8 cm big soft tissue bleed was observed on the right side of the inner surface of the ribs. It was found that the left 1st–4th ribs and the right 2nd–5th ribs, were broken on the midclavicular line. This was thought to happen during the process of resuscitation. Having opened the abdomen, 700 cc of blood was aspirated. In the inner abdominal examination, a 7 cm long blunt laceration was detected 0.5 cm deep to the surface of right lobe of the liver. In addition, a 3 × 4 cm big subcapsular hematoma was observed on the diaphragm side of the laceration (Fig. 1). Moreover, blood leakage was found in the liver, in the area close to the gallbladder, where veins enter and exit from liver. Having analyzed findings from the scene examination, internal and external findings from the autopsy and judicial investigation files, it was suggested that the reason for death was sudden heart disease (acute arrhythmia).

View Article: PubMed Central - PubMed

ABSTRACT

Cardiopulmonary resuscitation (CPR) is recognized as a medical procedure performed to maintain vital functions of a person whose cardiac and respiratory functions have stopped. Chest compression is the most essential component of CPR and it is performed on the lower half of the sternum. During CPR, many complications may occur because of chest compressions, especially chest injuries including sternum and rib fractures. Rarely tracheal injury, rupture of the stomach, or liver or spleen injury may also occur as complications.

In this study, we present two cases of liver injury caused by resuscitation. With this article, we want to emphasize the importance of making correct chest compressions.

No MeSH data available.


Related in: MedlinePlus