Voitk A J, Munkittrick R C
Can J Surg. 1986 May;29(3):218-9.
A snowmobile accident caused a pulp injury to the liver and tear of the vena cava of a 21-year-old man. Improvement after fluid resuscitation, right hepatic lobectomy and caval repair was followed by sudden hemodynamic collapse and death. Autopsy revealed pulmonary embolism caused by liver tissue. Presumably the pieces of liver entered the vena cava through the tear and travelled to the lung when blood flow improved. The authors believe that this is the first report of fatal pulmonary embolism caused by macroscopic liver tissue.
一起雪地摩托事故导致一名21岁男子肝脏实质损伤及腔静脉撕裂。经液体复苏、右肝叶切除术和腔静脉修复术后病情有所改善，但随后突然出现血流动力学崩溃并死亡。尸检显示为肝组织引起的肺栓塞。据推测，肝组织碎片通过撕裂处进入腔静脉，并在血流改善时进入肺部。作者认为，这是首例由宏观肝组织导致致命性肺栓塞的报告。
