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Traumatic rupture of the stomach secondary to Heimlich maneuver
M W Dupre1, E Silva, S Brotman
1Department of Emergency Medicine, Geisinger Medical Center, Danville, PA 17822-2005.
Abstract:
The case of a 93-year-old man who received a Heimlich maneuver while choking is reported. After the procedure, the patient presented with abdominal pain and ultimately was found to have developed a gastric rupture. He was hospitalized for 66 days. Review of the literature showed that only four gastric perforations related to the Heimlich maneuver have been documented. Other complications have occurred. It is reasonable to perform the procedure as an alternative to asphyxiation, but emergency physicians must be aware of the fact that life-threatening complications may ensue.
Insights
The Heimlich maneuver can save choking victims but may cause rare, life-threatening gastric rupture. Emergency physicians must weigh this risk against the immediate threat of asphyxiation.
Area of Science:
- Emergency Medicine
- Gastroenterology
- Surgical Complications
Background:
- The Heimlich maneuver is a critical intervention for choking emergencies.
- While generally safe and effective, potential complications require consideration.
Observation:
- A case report details a 93-year-old male experiencing gastric rupture post-Heimlich maneuver.
- The patient required extensive hospitalization (66 days) following the complication.
Findings:
- Literature review identified only four previously documented gastric perforations linked to the Heimlich maneuver.
- The study highlights that severe, life-threatening complications, though rare, can occur.
Implications:
- Emergency physicians should maintain awareness of potential severe adverse events associated with the Heimlich maneuver.
- The procedure remains a vital option for asphyxiation, but risk-benefit assessment is crucial.