Gastric Rupture as Complication of Heimlich Maneuvre: Case Report

Abstract

Background: Foreign body airway obstruction (FBAO, a.k.a. choking) is life-threatening situation, which requires an instant intervention. Among techniques to eliminate foreign body and relieve obstruction, most used is Heimlich maneuver. However, it can itself cause severe damage.

Case Description: We report case of gastric rupture after successful foreign body elimination. Clinical signs were weak, diagnosis was based mostly on radiological evidence of wast quantity of free air in abdominal cavity. Urgent laparotomy revealed gastric rupture, repaired with hand-sewn sutures.

Conclusions: Complications due the resuscitation, although rare, can be life threatening, so should be taken into account in every case. Public awareness
and knowledge about aid and self-aid in case of choking could be improved.