Title
Liver rupture after cardiopulmonary resuscitation in a patient receiving thrombolytic therapy Liver rupture after cardiopulmonary resuscitation in a patient receiving thrombolytic therapy
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Limerick ,
Subject
Human medicine
Source (journal)
Resuscitation. - Limerick, 1972, currens
Volume/pages
32(1996) :3 , p. 213-216
ISSN
0300-9572
1873-1570
ISI
A1996VT18700009
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
A patient with an acute myocardial infarction had to be resuscitated due to recurring ventricular fibrillation. After stabilisation, she received thrombolytic treatment with anistreplase. Fourteen hours later, clinical signs of hemoperitoneum developed and the diagnosis of liver rupture was made. After abdominal surgery and coronary revascularisation, the subsequent clinical course was uncomplicated. The literature on liver trauma after CPR as well as thrombolysis in association with CPR is reviewed. This observation suggests that there are no convincing arguments to withhold thrombolytic therapy in acute myocardial infarction after CPR in the absence of gross trauma. We stress that a high degree of clinical alertness is necessary to diagnose this life-threatening condition because of its frequent subacute evolution in patients that are per se hemodynamically unstable.
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