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Hepatic rupture as a life-threatening emergency and rare complication of CPR with the CORPULS device

Year: 2025

Type: article

Abstract: Cardiopulmonary resuscitation (CPR) is a life-saving intervention to restore circulation in cardiac arrest patients, with chest compressions being its cornerstone. However, CPR is associated with complications, predominantly chest wall injuries such as rib and sternum fractures. Rarely, intra-abdominal injuries, including liver rupture, can occur, posing life-threatening bleeding risks that require emergent intervention. Recognition of these less common complications can lead to significant improvements in post-CPR protocols and patient outcomes. Raising awareness of visceral injuries after resuscitation highlights the critical need for systematic evaluation and timely intervention. Here, we present a case of a patient with hepatic laceration following CPR with a CORPULS system, successfully identified and managed through a multidisciplinary approach. We propose the adoption of a structured post-CPR abdominal assessment protocol in high-risk patients who have undergone resuscitation.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf409

Authors: Tomás Marín-Cuartas, Steffen Pönitz, Steffi Scholz, Jörg-Peter Ritz, Judith Sporn, Jana Protzel

Institution: Helios Hospital Schwerin

Language: English

Topic: Cardiac Arrest and Resuscitation

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000