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Reminder of important clinical lesson
CASE REPORT
Focused assessment with sonography for trauma (FAST) identifies liver injury following cardiopulmonary resuscitation
  1. Hiroshi Nashiki1,
  2. Yoshiharu Miyate1,
  3. Yousuke Terui2,
  4. Masayuki Otani2
  1. 1Department of Critical Care Medicine, Iwate Prefectural Central Hospital, Morioka, Japan
  2. 2Department of Cardiology, Iwate Prefectural Central Hospital, Morioka, Japan
  1. Correspondence to Dr Hiroshi Nashiki, nashikihiroshi{at}chuo-hp.jp

Summary

Liver trauma is a recognised rare complication of cardiopulmonary resuscitation (CPR) and may be difficult to detect. We report a case of intraperitoneal haemorrhage due to liver injury following CPR in a 50-year-old man admitted to the intensive care unit. The haemorrhage was diagnosed with focused assessment with sonography for trauma (FAST). FAST can rapidly and easily diagnose liver injury. FAST is recommended for excluding haemoperitoneum in patients who are haemodynamically unstable after resuscitation.

  • trauma
  • liver disease

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

https://doi.org/10.1136/bcr-2017-221421

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    Footnotes

    • Contributors HN and YT: planning, acquisition of data and interpretation of data. HN and MO: resources. HN and YM: supervision. HN: visualization and writing of original draft. All authors: writing, review and editing.

    • Competing interests None declared.

    • Patient consent Obtained from guardian.

    • Provenance and peer review Not commissioned; externally peer reviewed.