Evidence map›Paper›PMID 38481627›Full record

ArticleAcute medicine & surgery

Splenic injury caused by cardiopulmonary resuscitation in a full stomach with hematoma after hemorrhagic shock due to bleeding duodenal ulcer: A case report.

Daisuke Fujimori, Tomohide Koyama, Satomi Ooki, Masaaki Ito, Yasutaka Yoshiike, Satoshi Nakamura, Ryuhei Yoshida, So Sakamoto, Chikao Ito, Miyuki Kasuya and 2 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.4field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Daisuke FujimoriDepartment of Emergency and Critical Care Medicine Asahi General Hospital Chiba Japan.ORCID https://orcid.org/0000-0003-3465-0477
Tomohide KoyamaDepartment of Emergency and Critical Care Medicine Asahi General Hospital Chiba Japan.
Satomi OokiDepartment of Emergency and Critical Care Medicine Asahi General Hospital Chiba Japan.
Masaaki ItoDepartment of Emergency and Critical Care Medicine Asahi General Hospital Chiba Japan.
Yasutaka YoshiikeDepartment of Emergency and Critical Care Medicine Asahi General Hospital Chiba Japan.
Satoshi NakamuraDepartment of Emergency and Critical Care Medicine Asahi General Hospital Chiba Japan.
Ryuhei YoshidaDepartment of Emergency and Critical Care Medicine Asahi General Hospital Chiba Japan.
So SakamotoDepartment of Emergency and Critical Care Medicine Asahi General Hospital Chiba Japan.ORCID https://orcid.org/0000-0002-0921-7375
Chikao ItoDepartment of Emergency and Critical Care Medicine Asahi General Hospital Chiba Japan.ORCID https://orcid.org/0000-0003-1972-9638
Miyuki KasuyaDepartment of Emergency and Critical Care Medicine Asahi General Hospital Chiba Japan.
Kyoji OeDepartment of Emergency and Critical Care Medicine Asahi General Hospital Chiba Japan.
Isao TakahashiDepartment of Emergency and Critical Care Medicine Asahi General Hospital Chiba Japan.
Asahi General Hospital · JPTochigi Prefectural Police · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cardiopulmonary resuscitation is essential for cardiopulmonary arrest, but complications from chest compressions warrant monitoring. Although rib and sternal fractures are common, abdominal injuries are rare, and splenic injuries are much rarer. Case Presentation: A 74-year-old man was admitted to the emergency room with a hemorrhagic duodenal ulcer. During hospitalization, the patient went into cardiopulmonary arrest due to hemorrhagic shock. Spontaneous circulation returned after 7 min of cardiopulmonary resuscitation. He underwent transcatheter arterial embolization to stop the bleeding from the duodenal ulcer. The next day, a close examination of the patient's progressive anemia revealed splenic injury; transcatheter arterial embolization was performed to save his life. Conclusion: It is important to consider the complication of splenic injury in patients with cardiopulmonary arrest who have undergone appropriate cardiopulmonary resuscitation. A possible mechanism-especially in patients with a full stomach-is the squeezing of the spleen by the diaphragm, abdominal wall, and stomach.

Indexed as

chest compressionfull stomachgastrosplenic ligamentsplenic arterysplenic injury

Identifiers

PMID38481627
PMCPMC10936228
OpenAlexW4392778821

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.