Hepatic rupture as a life-threatening emergency and rare complication of CPR with the CORPULS device

Cardiopulmonary resuscitation (CPR) is a life-saving intervention to restore circulation in cardiac arrest patients, with chest compressions being its cornerstone. However, CPR is associated with complications, predominantly chest wall injuries such as rib and sternum fractures. Rarely, intra-abdominal injuries, including liver rupture, can occur, posing life-threatening bleeding risks that require emergent intervention. Recognition of these less common complications can lead to significant improvements in post-CPR protocols and patient outcomes. Raising awareness of visceral injuries after resuscitation highlights the critical need for systematic evaluation and timely intervention. Here, we present a case of a patient with hepatic laceration following CPR with a CORPULS system, successfully identified and managed through a multidisciplinary approach. We propose the adoption of a structured post-CPR abdominal assessment protocol in high-risk patients who have undergone resuscitation.