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Updated: Jun 27, 2026

Application of Hemostatic Devices in Laparoscopic Hepatectomy

Application of Hemostatic Devices in Laparoscopic Hepatectomy

Published on: April 19, 2022

Asymptomatic fatal post-lobectomy hemopericardium.

C Kotoulas¹, S Meraj, N J Odom

¹Department of Cardiothoracic Surgery, Manchester Royal Infirmary, Manchester, UK. chrkotoulas@hol.gr

Monaldi Archives for Chest Disease = Archivio Monaldi Per Le Malattie Del Torace

|December 11, 2008

Summary

A rare case of sudden death occurred two days after surgery due to asymptomatic hemopericardium. Autopsy revealed blood in the pericardium but no clear cause for the fatal event.

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Area of Science:

Cardiovascular Surgery
Forensic Pathology

Background:

Lobectomy is a common surgical procedure.
Postoperative complications can occur, though rare.

Observation:

A female patient experienced sudden death two days after a lobectomy.
The patient was asymptomatic prior to death.

Findings:

Autopsy revealed 250 ml of blood and clots in the pericardium (hemopericardium).
A minor injury to epicardial fat was noted near the circumflex artery.
No other significant pathological findings were identified.

Implications:

This case highlights a rare, potentially fatal, and asymptomatic complication of lobectomy.
Further investigation into the etiology of post-lobectomy hemopericardium is warranted.
Sudden cardiac death post-surgery requires thorough forensic examination.