2017
DOI: 10.1017/s1049023x17006653
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On-Scene Rescue Breathing Resulting in Gastric Perforation and Massive Pneumoperitoneum

Abstract: Rescue breathing performed too vigorously or by untrained individuals may cause gastric distension and perforation. A 26-year-old woman is presented who developed acute abdominal pain and distension after receiving rescue breathing following a heroin overdose. Massive pneumoperitoneum was seen on chest x-ray, and on subsequent laparotomy, a 4cm laceration was found in the lesser curvature of the stomach. Review of the literature suggests that the lesser curvature is particularly susceptible to perforation foll… Show more

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Cited by 2 publications
(1 citation statement)
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“…During the laparotomy procedure, a 4 cm tear in the lesser curvature of the stomach was identified. These findings suggest that rescue breathing performed with excessive force or by individuals lacking proper training may lead to stomach expansion and subsequent perforation [ 18 ].…”
Section: Discussionmentioning
confidence: 99%
“…During the laparotomy procedure, a 4 cm tear in the lesser curvature of the stomach was identified. These findings suggest that rescue breathing performed with excessive force or by individuals lacking proper training may lead to stomach expansion and subsequent perforation [ 18 ].…”
Section: Discussionmentioning
confidence: 99%