{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T02:07:20Z","timestamp":1762999640191,"version":"3.41.2"},"reference-count":9,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,1,26]],"date-time":"2021-01-26T00:00:00Z","timestamp":1611619200000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acute Medicine &amp; Surgery"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The current report describes a case of stomach perforation, a rare but serious complication, that occurred during cardiopulmonary resuscitation following severe cibenzoline intoxication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>A woman aged in her 30s was brought into our hospital while receiving cardiopulmonary resuscitation for pulseless electrical activity. After starting extracorporeal membrane oxygenation (ECMO), her abdominal X\u2010ray examination revealed free air in her abdomen. She was diagnosed with internal gastric perforation. An emergency operation was carried out while the circulation was maintained using ECMO. As the patient\u2019s blood cibenzoline concentration on admission was 3,868\u00a0ng\/mL, she was diagnosed with cibenzoline intoxication caused by the self\u2010intake of twice the prescribed dose. She was successfully weaned off ECMO and discharged alive with full recovery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We successfully treated a case of gastric perforation after pulseless electrical activity requiring ECMO support due to cibenzoline intoxication. Abdominal surgery can be carried out even if ECMO support is needed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ams2.629","type":"journal-article","created":{"date-parts":[[2021,1,27]],"date-time":"2021-01-27T04:58:47Z","timestamp":1611723527000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A case report of stomach perforation during automatic mechanical chest compression following pulseless electrical activity due to cibenzoline intoxication"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9277-6567","authenticated-orcid":false,"given":"Tomonori","family":"Itoh","sequence":"first","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Yahaba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshihide","family":"Mifune","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Yahaba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Kojika","sequence":"additional","affiliation":[{"name":"Division of Critical Care Medicine Department of Critical Care, Disaster and General Medicine Iwate Medical University Yahaba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2084-7703","authenticated-orcid":false,"given":"Yasuhisa","family":"Fujino","sequence":"additional","affiliation":[{"name":"Division of Critical Care Medicine Department of Critical Care, Disaster and General Medicine Iwate Medical University Yahaba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiro","family":"Nasu","sequence":"additional","affiliation":[{"name":"Division of Critical Care Medicine Department of Critical Care, Disaster and General Medicine Iwate Medical University Yahaba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yujiro","family":"Naganuma","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Yahaba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Orii","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Yahaba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motoyuki","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Yahaba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,1,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.1552-4604.1991.tb01884.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/15563650701458134"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ams2.507"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2009.11.023"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12471-013-0491-y"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181db37f5"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2019.06.021"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000433-199506000-00011"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-196503000-00021"}],"container-title":["Acute Medicine &amp; 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