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On-Scene Rescue Breathing Resulting in Gastric Perforation and Massive Pneumoperitoneum

  • Mike Butterfield (a1) and Tamas Peredy (a1)
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 following over-distension. Emergency personnel should be aware of this rare, but serious, complication. Expansion of community and first responder naloxone use in the proper clinical setting may further diminish utilization of rescue breathing.

Butterfield M , Peredy T . On-Scene Rescue Breathing Resulting in Gastric Perforation and Massive Pneumoperitoneum. Prehosp Disaster Med. 2017;32(6):682683.

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Corresponding author
Correspondence: Mike Butterfield, MD Tampa General Hospital Department of Emergency Medicine 1 Davis Boulevard, Suite 504 Tampa, Florida 33606 USA E-mail: mcbutterfield@gmail.com
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Conflicts of interest: none

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References
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1. Yamada, S, Nishimiya, J, Kurokawa, K, Yuasa, T, Masaka, A. Bilevel nasal positive airway pressure and ballooning of the stomach. Chest. 2001;119(6):1965-1966.
2. Wolff, AT, Hohenstein, C. Gastric perforation after mouth-to-mouth ventilation: a case report. Eur J Anaesthesiol. 2015;32(2):138-139.
3. Valtonen, EJ, Hakola, N. Rupture of the normal stomach during mouth-to-mouth resuscitation. Report of a case. Acta Chir Scand. 1964;127:427-431.
4. Cassebaum, WH, Carberry, DM, Stefko, P. Rupture of the stomach from mouth-to-mouth resuscitation. J Trauma. 1974;14(9):811-814.
5. Solowiejczyk, M, Koren, E, Wapnick, S, Mandelbaum, J. Rupture of the stomach following mouth-to-mouth respiration. Postgrad Med J. 1974;50(590):769-772.
6. van Geel, AN, de Ruiter, P, Seerden, BP. [Stomach rupture caused by mouth-to-mouth respiration]. Ned Tijdschr Geneeskd. 1979;123(38):1647-1649.
7. Engelstein, D, Stamler, B. Gastric rupture complicating mouth-to-mouth resuscitation. Isr J Med Sci. 1984;20(1):68-70.
8. O’Hanlon, KP. Gastric rupture with pneumoperitoneum after mouth-to-nose breathing in an infant. J Emerg Med. 2010;39(3):312-315.
9. Schvadron, E, Moses, Y, Weissberg, D. Gastric rupture complicating inadvertent intubation of the esophagus. Can J Surg J Can Chir. 1996;39(6):487-489.
10. Smally, AJ, Ross, MJ, Huot, CP. Gastric rupture following bag-valve-mask ventilation. J Emerg Med. 2002;22(1):27-29.
11. Jarry, J, Hournau, M, Rault, A, Collet, D. [Gastric rupture secondary to non-invasive ventilation]. Gastroentérologie Clin Biol. 2009;33(6-7):492-493.
12. Bednarz, S, Filipovic, M, Schoch, O, Mauermann, E. Gastric rupture after bag-mask-ventilation. Respir Med Case Rep. 2015;16:1-2.
13. Song, JK, Stern, EJ, Beaty, CD. Gastric perforation: a complication of inadvertent esophageal intubation. AJR Am J Roentgenol. 1995;164(6):1386.
14. Spoormans, I, Van Hoorenbeeck, K, Balliu, L, Jorens, PG. Gastric perforation after cardiopulmonary resuscitation: review of the literature. Resuscitation. 2010;81(3):272-280.
15. McQueen, MM, Gollock, JM, Fergusson, RJ. Spontaneous gastric rupture complicating acute asthma. Br Med J Clin Res Ed. 1982;285(6343):692-693.
16. World Health Organization. Community Management of Opioid Overdose. Geneva, Switzerland: World Health Organization; 2014. http://www.ncbi.nlm.nih.gov/books/NBK264311/. Accessed January 6, 2017.
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Prehospital and Disaster Medicine
  • ISSN: 1049-023X
  • EISSN: 1945-1938
  • URL: /core/journals/prehospital-and-disaster-medicine
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