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Eur J Pediatr Surg 2013; 23(06): 502-504
DOI: 10.1055/s-0032-1330850
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Georg Thieme Verlag KG Stuttgart · New York

Diaphragmatic Rupture with Gastric Volvulus after Heimlich Maneuver

Gurdeep Matharoo
1   Department of Surgery, Monmouth Medical Center, New Jersey, United States
,
Amit Kalia
2   Department of Radiology, Newark Beth Israel Medical Center, Newark, New Jersey, United States
,
Tej Phatak
2   Department of Radiology, Newark Beth Israel Medical Center, Newark, New Jersey, United States
,
Nishith Bhattacharyya
3   Department of Surgery, Newark Beth Israel Medical Center, Newark, New Jersey, United States
› Author Affiliations
Further Information

Publication History

19 August 2012

18 September 2012

Publication Date:
21 November 2012 (online)

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Introduction

Heimlich first described his life-saving maneuver to prevent choking in 1975.[1] Since then, it has been accepted by the American Heart Association and included in the Basic Life Support for Healthcare Providers training as the recommended treatment for acute airway obstruction secondary to a foreign body.[2] Choking by foreign body is a life-threatening condition that accounts for over 4,000 deaths in the United States annually.[3] A recent review of the literature reported 41 cases of complications secondary to performance of the Heimlich maneuver.[3] We present the first case of pediatric diaphragmatic rupture after Heimlich maneuver.

 

  • References

  • 1 Heimlich HJ. A life-saving maneuver to prevent food-choking. JAMA 1975; 234 (4) 398-401
    CrossrefPubMedGoogle Scholar
  • 2 Hazinski M, Gonzales L, O'Neill L. BLS for Healthcare Providers. Dallas, TX: American Heart Association; 2006
    Google Scholar
  • 3 Chillag S, Krieg J, Bhargava R. The Heimlich maneuver: breaking down the complications. South Med J 2010; 103 (2) 147-150
    CrossrefPubMedGoogle Scholar
  • 4 Ujjin V, Ratanasit S, Nagendran T. Diaphragmatic hernia as a complication of the Heimlich maneuver. Int Surg 1984; 69 (2) 175-176
    PubMedGoogle Scholar
  • 5 Iochum S, Ludig T, Walter F, Sebbag H, Grosdidier G, Blum AG. Imaging of diaphragmatic injury: a diagnostic challenge?. Radiographics 2002; 22 (Spec No) S103-S116 , discussion S116–S118
    CrossrefPubMedGoogle Scholar
  • 6 Shanmuganathan K, Killeen K, Mirvis SE, White CS. Imaging of diaphragmatic injuries. J Thorac Imaging 2000; 15 (2) 104-111
    CrossrefPubMedGoogle Scholar
  • 7 Davis JW, Eghbalieh B. Injury to the diaphragm. In: Feliciano DV, Mattox KL, Moore EE, , eds. Trauma. New York, NY: McGraw-Hill; 2008: 623-635
    Google Scholar
  • 8 New York City Department of Health and Mental Hygiene. Operating a food establishment in NYC. Available at: http://www.nyc.gov/html/doh/downloads/pdf/inspect/inspect-guide-part3.pdf . Accessed March 11, 2012
    PubMedGoogle Scholar
  • 9 Heimlich HJ, Patrick EA. The Heimlich maneuver. Best technique for saving any choking victim's life. Postgrad Med 1990; 87 (6) 38-48 , 53
    PubMedGoogle Scholar