Postoperative pulmonary embolism (PE) poses a serious threat to a patient's life. However, cases involving concurrent liver rupture are exceedingly rare. This report describes a case of a patient who experienced cardiac arrest due to PE following lower extremity varicose vein surgery, followed by liver rupture during cardiopulmonary resuscitation (CPR). Under the timely intervention of a multidisciplinary team (MDT), the patient underwent extracorporeal membrane oxygenation (ECMO)-assisted resuscitation and hepatic repair surgery. Through a staged anticoagulation strategy, a balance was achieved between bleeding control and thrombosis prevention. Ultimately, after 23 days of treatment, the patient regained consciousness and was transferred to rehabilitation.
Yang et al. (Mon,) studied this question.