Liver laceration related to cardiopulmonary resuscitation.

Abstract

a b s t r a c tCardiopulmonary 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.

Retrospective study of gross and histopathologic lesions associated with closed chest cardiopulmonary resuscitation in dogs

“…This is in contrast to humans, where most CPR-associated liver fractures occur in the left lobe of the liver. This is thought to be due to contact between this lobe and the end of the sternum, which is sword-shaped (Beydilli et al 2015, Beydilli et al 2016. The weight of dogs with liver fractures ranged from 2 to 38 kg (mean ± SD=15.5 ± 12.2 kg).…”

Thinking outside the “box”: severe intra-abdominal bleeding due to liver injury post CPR

“…Liver injuries are the most common [5] intra-abdominal complications following CPR, with an approximate incidence of 0.6 to 3% [2,4]. The left liver lobe is mainly affected due to its proximity the sternum [2].…”

“…Less well-described are intra-abdominal complications, including stomach, spleen and liver injuries [5]. Significant liver injuries, though rare, when misdiagnosed or addressed late in the patient's hospital course, may lead to poor outcomes [3,4,6]. We report a case of hepatic injury suggested by FAST and confirmed by CT after resuscitation from cardiac arrest.…”

“…However, CPR is not without complications. Fractured ribs and sternums, aspiration pneumonia, and mediastinal hemorrhage have been well documented [2][3][4]. Less well-described are intra-abdominal complications, including stomach, spleen and liver injuries [5].…”

Grade 4 Liver Laceration after Cardiopulmonary Resuscitation: A Case Report

“…The chest compressions in adults must be 5.5cm or 2 inches in depth which requires about 60 pounds of force. This may result in bodily injury of the patient including ecchymoses of the chest, fracture of the ribs or sternum [1], injury to visceral organs including spleen, stomach, liver [2] and rarely to the heart from rib fracture [3].…”