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Marrow embolus to posterior ciliary vessel
1Department of Ophthalmology, Mayo Clinic and Mayo Foundation, Rochester, Minn.
Archives of Pathology & Laboratory Medicine
|September 1, 1990
Summary
A 69-year-old man with respiratory disease died after resuscitation attempts. Autopsy revealed lung cancer with metastases and marrow emboli, including one to the eye.
Area of Science:
- Pathology
- Oncology
- Pulmonology
Background:
- A 69-year-old male patient presented with respiratory disease and arrest.
- Resuscitation efforts for respiratory arrest resulted in multiple rib fractures.
Observation:
- The patient experienced respiratory arrest requiring resuscitation.
- Multiple rib fractures occurred during the resuscitation attempts.
Findings:
- Autopsy revealed advanced lung carcinoma with widespread metastases.
- Multiple pulmonary marrow emboli were identified.
- A critical finding was a marrow embolus to the posterior ciliary vessel, potentially impacting vision.
Implications:
- This case highlights the complex interplay between underlying disease, resuscitation trauma, and unexpected embolic events.
- The posterior ciliary vessel embolus suggests a potential, though unconfirmed, contribution to the patient's demise or complications.
- Further research into the mechanisms and clinical significance of marrow emboli in critical care settings is warranted.