Ruptura jater s hemoperitoneem jako vzácná komplikace kardiopulmonální resuscitace u mladé pacientky s akutním infarktem myokardu

Title in English Liver rupture with hemoperitoneurn as rare complication of cardiopulmonary resuscitation in young patient with acute myocardial infarction


Year of publication 2014
Type Article in Periodical
Magazine / Source Vnitřní lékařství
MU Faculty or unit

Faculty of Medicine

Field Cardiovascular diseases incl. cardiosurgery
Keywords cardiopulmonary resuscitation; hemoperitoneurn; liver rupture; myocardial infarction
Description Rupture of the liver is a rare but a very serious complication of cardiopulmonary resuscitation. The presentei 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 hemoperitoneurn was diagnosed by ultrasonogra-phy 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, diag-nostics and therapeutic options are discussed.
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