Food Particle Aspiration Associated with Hemorrhagic Shock: A Diagnostic Dilemma

Joint Authors

Schroeder, Jonathan
Medina, Michael
Smolley, Laurence A.
Ramirez, Jose
Tashtoush, Basheer
Oliveira, Eduardo Araujo
Hadeh, Anas
Memarpour, Roya

Source

Case Reports in Emergency Medicine

Issue

Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2015-05-19

Country of Publication

Egypt

No. of Pages

4

Main Subjects

Diseases

Abstract EN

The hemodynamic compromise caused by a large aspirated food particle in the airway can become the focus of medical attention and a distraction from rare but fatal Heimlich maneuver related injuries after an incident of food aspiration.

We herein present a case of an 84-year-old man who was brought to the emergency department after an episode of choking at a restaurant followed by several failed Heimlich maneuver attempts.

Despite relieving the airway obstruction by extracting a large piece of steak from the airway, the patient remained hypotensive and required continued hemodynamic support.

Repeated laboratory tests within 24 hrs of aspiration showed a significant decline in the hemoglobin level.

A computed tomography (CT) scan of the abdomen and pelvis showed a lacerated liver with a large subcapsular hematoma draining into the pelvis.

Conclusion.

Hepatic rupture is a rare complication of Heimlich maneuver; this paper represents the second case report in the literature.

It emphasizes the necessity of early identification and surveillance of fatal Heimlich maneuver complications in a high risk population.

American Psychological Association (APA)

Tashtoush, Basheer& Schroeder, Jonathan& Memarpour, Roya& Oliveira, Eduardo Araujo& Medina, Michael& Hadeh, Anas…[et al.]. 2015. Food Particle Aspiration Associated with Hemorrhagic Shock: A Diagnostic Dilemma. Case Reports in Emergency Medicine،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058446

Modern Language Association (MLA)

Tashtoush, Basheer…[et al.]. Food Particle Aspiration Associated with Hemorrhagic Shock: A Diagnostic Dilemma. Case Reports in Emergency Medicine No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058446

American Medical Association (AMA)

Tashtoush, Basheer& Schroeder, Jonathan& Memarpour, Roya& Oliveira, Eduardo Araujo& Medina, Michael& Hadeh, Anas…[et al.]. Food Particle Aspiration Associated with Hemorrhagic Shock: A Diagnostic Dilemma. Case Reports in Emergency Medicine. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058446

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1058446