• Shuai Wang, Mengyuan Diao, Jianrong Wang, Qiao Gu, Ying Zhu, Wei Hu, and Bingwei Liu.
• Affiliated Hangzhou First People's Hospital and Zhejiang University School of Medicine, Hangzhou, China.
• Clin Med (Lond). 2022 Jul 1; 22 (4): 360363360-363.

AbstractThe patient in case 1 was a 50-year-old man who presented to the emergency department of the local hospital with chest pain and syncope for 3 hours due to acute myocardial infarction. He underwent cardiopulmonary resuscitation (CPR) followed by extracorporeal membrane oxygenation (ECMO), and intestinal perforation was detected on day 9. The patient in case 2 was a 58-year-old man who was admitted to the hospital with abdominal pain lasting for 3 days. He also required CPR and ECMO for cardiogenic shock, and intestinal perforation was identified on day 7 of ECMO. We believe that this case report will be important to alert clinicians to the possibility of this complication and to encourage early detection and intervention to improve prognosis. Conventionally, the gastrointestinal tract has received secondary attention in patients receiving ECMO support because the vital organs tend to be considered first. However, this case report illustrates the importance of monitoring gastrointestinal function in patients undergoing ECMO.© Royal College of Physicians 2022. All rights reserved.

17 keywords...

hide…