Vnitr Lek 2014, 60(5-6):527-530

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

Linda Vetešková^1,*, Petr Kysela², Šárka Bohatá³, Jiří Pařenica^4,5

¹ Centrum kardiovaskulární a transplantační chirurgie Brno, ředitel doc. MUDr. Petr Němec, CSc.

² Chirurgická klinika LF MU a FN Brno, pracoviště Bohunice, přednosta prof. MUDr. Zdeněk Kala., CSc.

³ Radiologická klinika LF MU a FN Brno, pracoviště Bohunice, přednosta prof. MUDr. Vlastimil A. Válek, CSc., MBA

⁴ Interní kardiologická klinika LF MU a FN Brno, pracoviště Bohunice, přednosta prof. MUDr. Jindřich Špinar, CSc., FESC

⁵ Mezinárodní centrum klinického výzkumu FN u sv. Anny Brno, ředitel Gorazd B. Stokin, M.D., MSc., Ph.D.

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.

Keywords: cardiopulmonary resuscitation; hemoperitoneum; liver rupture; myocardial infarction

Received: January 15, 2014; Accepted: March 9, 2014; Published: May 1, 2014  Show citation