Sheeza Basharatover 2 years ago

Spleen injured during CPR

This is a spleen injured during CPR. This 69-year-old man showed up to place a routine elective cardiac catheter. During the procedure, some complications occurred, such as cardiac tamponade and subsequent pulseless electrical activity, to which chest compressions and the ACLS protocol were started and he returned. A few hours later, his hemoglobin was at 5 and his abdomen was very distended. A FAST ultrasound was performed and it was observed that he had blood all over the peritoneum. He was rushed to the operating room for an exploratory laparotomy and, after evacuating a huge amount of blood from the peritoneal cavity, it was found that the spleen was injured in the capsule and in the short gastric arteries. These vessels, together with the splenic artery and vein, were connected and the spleen removed. This is a very rare case of splenic injury due to aggressive CPR chest compressions (only about 3% incidence). The patient is now fully recovering in the ICU.