José João Martins*, Laura Costa, Anabela Mesquita and Luís Lencastre

Unidade de Cuidados Intensivos, Hospital de Braga, Braga, Portugal

*Corresponding Author: José João Martins, Unidade de Cuidados Intensivos, Hospital de Braga, Braga, Portugal.

Received: March 25, 2021; Published: May 18, 2021

Citation: José João Martins., et al. “Life-threatening Hemoperitoneum Following Cardiac Arrest by Myocardial Infarction: A Case Report of Successful Endovascular Management". Acta Scientific Microbiology 5.6 (2021): 83-85.

Abstract

  Spontaneous hepatic artery rupture with hemoperitoneum and haemorrhagic shock is a life-threatening condition, the seriousness of this condition is multiplied if it follows another life-threatening event, in this case, a myocardial infarction with cardiac arrest. The following clinical case depicts a patient admitted to the intensive care unit following cardiac arrest, shortly after admission the patient becomes unstable with haemorrhagic shock that was found to be due a bleeding hepatic artery. The hemoperitoneum was controlled using atypical means with an endovascular approach. Our clinical case will hopefully demonstrate an atypical scenario where the source of clinical deterioration was not apparent and represents a very rare complication of cardiac resuscitation. This case demonstrates the need for a clinician to always be alert for rare complications and be able to quickly adapt.

Keywords: Hemoperitoneum; Cardiac Arrest; Endovascular Procedures; Hepatic Artery; Critical Care

Bibliography

1. Iacobellis F., et al. “Dual-phase CT for the assessment of acute vascular injuries in high-energy blunt trauma : the imaging findings and management implications”. British Journal of Radiology1061 (2016): 20150952.
2. Weber DG., et al. “Damage control surgery for abdominal emergencies”. British Journal of Surgery1 (2014): 109-118.
3. Chan YC., et al. “Management of spontaneous and iatrogenic retroperitoneal haemorrhage : conservative management, endovascular intervention or open surgery?”. International Journal of Clinical Practice10 (2008): 1604-1613.
4. Næss PA., et al. “Minimal invasive treatment of life- threatening bleeding caused by cardiopulmonary resuscitation-associated liver injury : a case report”. Journal of Medical Case Reports (2016): 1-4.
5. Meron G., et al. “Cardiopulmonary resuscitation-associated major liver injury”. Resuscitation3 (2007): 445-453.

Copyright: © 2021 José João Martins., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.