Abstract
To the Editor.— A 45-year-old woman who had been anephric by surgery and on hemodialysis three times a week for three years had a terminal respiratory arrest. She received external cardiac massage for one hour, but could not be resuscitated. Autopsy revealed a fracture of T6, right hemothorax, left ventricular hypertrophy, and pericarditis. The liver was unremarkable on gross examination. However, microscopic examination revealed pulmonary embolism by hepatic tissue, along with bone marrow and fat emboli (Fig 1 and 2). We speculate that external cardiac massage was instrumental in producing pulmonary embolism by hepatic tissue. To our knowledge, all previously reported cases of pulmonary embolism by hepatic tissue were caused by catastrophic traumatic injuries.1,2
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: JAMA: The Journal of the American Medical Association
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
