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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 2; A 3.5 cm long laceration with an ecchymotic around, which matched to the projection of the xiphoid process, was found in the liver.
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fig2: Case 2; A 3.5 cm long laceration with an ecchymotic around, which matched to the projection of the xiphoid process, was found in the liver.

Mentions: A 65 year old male truck driver who collapsed due to cardiac arrest was resuscitated at the scene by the 112 emergency resuscitation team. Since he did not respond to resuscitation, he was recognized as exitus. In the autopsy performed fractures were found on the midclavicular lines of the left and right 4th,5th, and 6th ribs. Ecchymoses was observed around the fractures. These injuries were thought to be related to the resuscitation. Moreover, it was found that the heart had been dilated and a stent had been inserted 1 cm from the output of the left coronary artery and it had been blocked distally. The area 2 cm from the output of the right coronary artery was blocked with atheromatous plaques while the distal part at the output of the right coronary artery was found to be completely blocked. Having opened the abdomen, an intraperitoneal hemorrhage was found and 1 L of blood was aspirated from the abdomen. Furthermore, a 3.5 cm laceration with surrounding ecchymosis, which matched to the projection of the xiphoid process, was found in the liver (Fig. 2). The reason for death was thought to be the sudden heart disease (heart attack). The laceration on the upper part of the left lobe of the liver might happen during the resuscitation process (injuries caused by xiphoid proces).


Liver laceration related to cardiopulmonary resuscitation
Case 2; A 3.5 cm long laceration with an ecchymotic around, which matched to the projection of the xiphoid process, was found in the liver.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

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

fig2: Case 2; A 3.5 cm long laceration with an ecchymotic around, which matched to the projection of the xiphoid process, was found in the liver.
Mentions: A 65 year old male truck driver who collapsed due to cardiac arrest was resuscitated at the scene by the 112 emergency resuscitation team. Since he did not respond to resuscitation, he was recognized as exitus. In the autopsy performed fractures were found on the midclavicular lines of the left and right 4th,5th, and 6th ribs. Ecchymoses was observed around the fractures. These injuries were thought to be related to the resuscitation. Moreover, it was found that the heart had been dilated and a stent had been inserted 1 cm from the output of the left coronary artery and it had been blocked distally. The area 2 cm from the output of the right coronary artery was blocked with atheromatous plaques while the distal part at the output of the right coronary artery was found to be completely blocked. Having opened the abdomen, an intraperitoneal hemorrhage was found and 1 L of blood was aspirated from the abdomen. Furthermore, a 3.5 cm laceration with surrounding ecchymosis, which matched to the projection of the xiphoid process, was found in the liver (Fig. 2). The reason for death was thought to be the sudden heart disease (heart attack). The laceration on the upper part of the left lobe of the liver might happen during the resuscitation process (injuries caused by xiphoid proces).

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