Acharya Metesh N, George Robert S, Loubani Mahmoud
Department of Cardiothoracic Surgery, Castle Hill Hospital, Hull HU16 5JQ, UK
Department of Cardiothoracic Surgery, Castle Hill Hospital, Hull HU16 5JQ, UK.
J Surg Case Rep. 2016 May 17;2016(5):rjw091. doi: 10.1093/jscr/rjw091.
Cardiopulmonary resuscitation (CPR) techniques are now well-established and play a crucial role in improving survival in cardiac arrest. Recognized complications associated with CPR include injury to the upper abdominal viscera, including the liver, stomach and spleen. We present a rare case of occult splenic rupture following cardiac arrest in a 63-year-old male immediately after left pneumonectomy. We discuss potential mechanisms predisposing the spleen to injury in this case, and highlight the difficulty of promptly identifying such a traumatic injury within the confines of a cardiac arrest scenario. Clinicians should be aware that anatomical changes following thoracic surgery may render the intra-abdominal viscera at increased risk of injury following CPR.
心肺复苏（CPR）技术现已成熟，在提高心脏骤停患者的生存率方面发挥着关键作用。公认的与心肺复苏相关的并发症包括对上腹脏器（包括肝脏、胃和脾脏）的损伤。我们报告了一例罕见病例，一名63岁男性在左肺切除术后立即发生心脏骤停，随后出现隐匿性脾破裂。我们讨论了该病例中脾脏易受损伤的潜在机制，并强调了在心脏骤停情况下迅速识别这种创伤性损伤的困难。临床医生应意识到，胸外科手术后的解剖结构变化可能使心肺复苏后腹内脏器受伤的风险增加。
