The Heimlich maneuver is a life-saving technique for dislodging foreign mat
erial from the respiratory tract. This report illustrates intraabdominal in
juries, including a large mesenteric laceration, mesenteric contusions, and
intraperitoneal hemorrhage, that occurred in a recipient of a vigorously a
pplied Heimlich maneuver. The potential for confusing such injuries with ho
micidally inflicted injuries is emphasized.