Hemorrhage from gastric mucosal tears complicating cardiopulmonary resuscitation

Peter J. McDonnell, Grover M. Hutchins, Ralph H. Hruban, Charles G. Brown

Research output: Contribution to journalArticlepeer-review

Abstract

We observed at autopsy two patients in whom clinically significant gastrointestinal bleeding occurred from gastric mucosal tears following closed chest cardiac massage. Review of autopsy files showed that, when the Mallory-Weiss syndrome is excluded, linear mucosal tears along the lesser curvature of the stomach occur in about 2% of patients given cardiopulmonary resuscitation; similar lesions have not been observed in patients not subjected to resuscitation. The localization of the tears along the lesser curvature of the stomach is probably the consequence of the catenoidal configuration of that region. The importance of the mucosal tears lies in their propensity to hemorrhage if resuscitation is successful.

Original languageEnglish (US)
Pages (from-to)230-233
Number of pages4
JournalAnnals of emergency medicine
Volume13
Issue number4
DOIs
StatePublished - Apr 1984

Keywords

  • cardiopulmonary resuscitation, complication
  • gastric tear, from CPR
  • gastrointestinal bleeding, from CPR

ASJC Scopus subject areas

  • Emergency Medicine

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