Resuscitation-related pulmonary bone marrow embolism: An accidental autopsy finding

A. Jukna, B. Mihailova, A. Grjunbergs, J. Nazarovs, I. Strumfa

Research output: Contribution to journalMeeting Abstractpeer-review

Abstract

Objective: Pulmonary embolism, although frequently a clinically silent
phenomenon, still causes a fairly stable incidence of sudden death. Fat
and marrow embolism usually appears after long bone fractures. The aim
of the report is to present a case of pulmonary bone marrow embolism
after cardiopulmonary resuscitation.
Method: A 63-year-old female died unexpectedly with symptoms of
cardio-respiratory failure after acute bleeding from duodenal ulcers.
During recent years, she was repeatedly admitted to hospital because of
upper gastrointestinal bleeding. An autopsy was performed.
Results: Autopsy disclosed multiple chronic duodenal ulcers in active
and remission phases, as well as gastritis and duodenitis. Right-sided
struvite-type kidney stones clinically correlated with severely decreased
glomerular filtration rate and elevated creatinine level corresponding to
chronic kidney disease. A component of acute kidney failure was noted.
The gross fractures of two ribs and microscopical finding of pulmonary
bone marrow embolism in small and medium-sized blood vessels were
attributable to cardiopulmonary resuscitation.
Conclusion: Cardiopulmonary resuscitation-related rib fracture can
cause pulmonary bone marrow embolism that has basically no importance as an autopsy finding. It may be considered a complication in
patients with successful reanimation. Resuscitation-related pulmonary
bone marrow embolism represents an important differential diagnosis to
forensic traumatic death causes.
Original languageEnglish
Article numberE-PS-15-007
Pages (from-to)S339-S339
Number of pages1
JournalVirchows Archiv
Volume471
Issue numberSuppl. 1
Publication statusPublished - Sep 2017
Event29th European Congress of Pathology: Pathology for patient care - Amsterdam, Netherlands
Duration: 2 Sep 20176 Sep 2017
Conference number: 29
https://pathology.nl/evenement/29th-european-congress-of-pathology/
https://www.esp-congress.org/_Resources/Persistent/c6589e10208b86a3700a8c1f36aca4325f15f3a4/ECP2017_Final%20Programme.pdf

Field of Science*

  • 3.1 Basic medicine

Publication Type*

  • 3.3. Publications in conference proceedings indexed in Web of Science and/or Scopus database

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