An atypical case of fatal 'esophageal apoplexy': post-mortem findings and differential diagnosis.

IF 2.2 3区 医学 Q1 MEDICINE, LEGAL
International Journal of Legal Medicine Pub Date : 2024-11-01 Epub Date: 2024-06-27 DOI:10.1007/s00414-024-03280-6
Hans H de Boer, Chris O'Donnell
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引用次数: 0

Abstract

Forensic pathologists need to have comprehensive knowledge of a large variety of causes of sudden natural death. We describe a case of sudden and unexpected death in woman in her sixties due to rupture of a large paraesophageal hematoma. The post-mortem examination and differential diagnosis are discussed. The combined findings of whole-body post-mortem CT imaging (PMCT), targeted PMCT angiography, autopsy, and histology are most in keeping with 'esophageal apoplexy'; a rare cause of hemorrhage in the esophageal wall. A review of the literature indicates that most cases of esophageal apoplexy are self-limiting and that fatal complications are exceedingly rare. Our case demonstrates that esophageal apoplexy can present as sudden unexpected death.

Abstract Image

致命性 "食道梗死 "的非典型病例:尸检结果和鉴别诊断。
法医病理学家需要全面了解自然猝死的各种原因。我们描述了一例六十多岁女性因食道旁巨大血肿破裂而意外猝死的病例。我们对尸检和鉴别诊断进行了讨论。全身死后 CT 成像(PMCT)、目标 PMCT 血管造影、尸体解剖和组织学检查的综合结果与 "食管梗死 "最为吻合;"食管梗死 "是食管壁出血的罕见原因。文献综述表明,大多数食管梗死病例都是自限性的,致命的并发症极为罕见。我们的病例表明,食管卒中可表现为意外猝死。
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来源期刊
CiteScore
5.80
自引率
9.50%
发文量
165
审稿时长
1 months
期刊介绍: The International Journal of Legal Medicine aims to improve the scientific resources used in the elucidation of crime and related forensic applications at a high level of evidential proof. The journal offers review articles tracing development in specific areas, with up-to-date analysis; original articles discussing significant recent research results; case reports describing interesting and exceptional examples; population data; letters to the editors; and technical notes, which appear in a section originally created for rapid publication of data in the dynamic field of DNA analysis.
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