Department of Forensic Medicine, Habib Bourguiba University Hospital, Sfax, Tunisia.
Pan Afr Med J. 2020 Aug 6;36:255. doi: 10.11604/pamj.2020.36.255.21058. eCollection 2020.
An aortic injury with concomitant pericardial tamponade caused by sternal bone marrow aspiration is rare. We report a case of fatal sternal bone marrow aspiration performed to a 73 year old man for the purpose of confirming the diagnosis of multiple myeloma. This puncture was followed by an injury in the aorta causing a pericardial tamponade and the death of the patient immediately after the aspiration. This paper stresses the precautions to be taken, by the operator, in certain particular situations that make the sternal bone marrow aspiration difficult and risky, and discusses the different types of operator´s liability that can be involved and their foundations.
胸骨骨髓抽吸导致的主动脉损伤合并心包填塞很少见。我们报告了一例 73 岁男性进行胸骨骨髓抽吸以明确多发性骨髓瘤诊断的致死性病例。该穿刺后导致主动脉损伤，引起心包填塞，患者在抽吸后立即死亡。本文强调了在某些特殊情况下，操作者应采取的注意事项，这些情况使得胸骨骨髓抽吸变得困难且有风险，并讨论了可能涉及的不同类型的操作者责任及其依据。
