| Abstrakt: |
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 |
