Due to its uncommon occurrence, few clinicians or pathologists have seen patients or decedents with systemic air embolism (SAE).Likewise, its clinical signs-skin marbling (livedo reticularis or cutis marmorata), lingual pallor (Liebermeister's sign), frothy arterial bleeding, and retinal air emboli (RAE)-are not well known [1][2][3][4][5][6].The characteristic funduscopic findings of RAE consist of intravascular air columns and bubbles, and pale silvery streaks highlighting air-filled retinal blood vessels [3,4,7,8]. While a few descriptions and
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