Liver rupture with hemoperitoneum as rare complication of cardiopulmonary resuscitation in young patient with acute myocardial infarction

Czech version

Authors: Linda Vetešková ¹; Petr Kysela ²; Šárka Bohatá ³; Jiří Pařenica ^4,5
Authors‘ workplace: Centrum kardiovaskulární a transplantační chirurgie Brno, ředitel doc. MUDr. Petr Němec, CSc. ¹; Chirurgická klinika LF MU a FN Brno, pracoviště Bohunice, přednosta prof. MUDr. Zdeněk Kala., CSc. ²; Radiologická klinika LF MU a FN Brno, pracoviště Bohunice, přednosta prof. MUDr. Vlastimil A. Válek, CSc., MBA ³; Interní kardiologická klinika LF MU a FN Brno, pracoviště Bohunice, přednosta prof. MUDr. Jindřich Špinar, CSc., FESC ⁴; Mezinárodní centrum klinického výzkumu FN u sv. Anny Brno, ředitel Gorazd B. Stokin, M. D., MSc., Ph. D. ⁵
Published in: Vnitř Lék 2014; 60(5-6): 527-530
Category: Case Report

Overview

Rupture of the liver is a rare but a very serious complication of cardiopulmonary resuscitation. The presented case report describes a young patient with acute myocardial infarction with ST segment elevation treated by primary PCI. Just during admission to the hospital she had ventricular fibrillation with prolonged resuscitation. Subsequently due to a decrease of hemoglobine a liver rupture with hemoperitoneum was diagnosed by ultrasonography and computed tomography (CT). Conservative therapy with repeated ultrasonography and CT examinations was successful even without discontinuation dual antiplatelet therapy. Frequency of this rare complication, diagnostics and therapeutic options are discussed.

Key words:
cardiopulmonary resuscitation – hemoperitoneum – liver rupture – myocardial infarction

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