School of Medicine, Universidad Nacional de Trujillo, Trujillo, Peru.
Department of Thanatology, Unidad Médico Legal II, La Libertad, Peru.
Forensic Sci Med Pathol. 2021 Jun;17(2):312-316. doi: 10.1007/s12024-020-00353-x. Epub 2021 Feb 9.
Nonthrombotic pulmonary embolism is an uncommon life-threatening complication following liposuction. We report a rare incidental autopsy finding associated with this procedure. A 43-year-old female who underwent liposuction presented with hypotension, respiratory distress, loss of consciousness and cardiorespiratory arrest during the intraoperative period. The patient died 2 h after admission to the emergency department. Autopsy reported a massive hemoperitoneum (2.2 L) secondary to liver perforation associated with liposuction as the cause of death. Pelvic, umbilical and lumbar peritoneal perforations were also observed. The histological study showed segments of the pulmonary arteries occluded by mixed emboli of skeletal muscle fibers coexisting with fatty tissue. We discuss the origin, pathophysiology and clinical manifestations of this new kind of mixed pulmonary embolism.
非血栓性肺栓塞是脂肪抽吸术后一种罕见的危及生命的并发症。我们报告了一个与该手术相关的罕见偶然尸检发现。一名 43 岁女性在接受脂肪抽吸术后出现低血压、呼吸窘迫、意识丧失和心肺骤停。患者在进入急诊部后 2 小时死亡。尸检报告称，由于与脂肪抽吸术相关的肝穿孔导致大量血腹（2.2L），这是死亡的原因。还观察到骨盆、脐部和腰部腹膜穿孔。组织学研究显示，肺动脉的节段被混杂的骨骼肌纤维和脂肪组织混合栓子阻塞。我们讨论了这种新型混合性肺栓塞的起源、病理生理学和临床表现。
