Lethal septic pulmonary thromboembolism in a repatriated body - a rare complication of prolonged urinary catheterization.

IF 1.5 4区 医学 Q1 LAW
Kathryn Harvey, John D Gilbert, Roger W Byard
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引用次数: 0

Abstract

A case of septic pulmonary thromboembolism arising from thrombophlebitis of the prostatic venous plexus associated with long-term urinary catheterisation in a 51-year-old man is reported. Despite a previous autopsy having been conducted in the country where he had been resident overseas, a re-examination showed histological evidence of mild patchy chronic prostatitis with a florid, focally purulent, thrombophlebitis of the periprostatic venous plexus with abscess formation and evidence of bacterial overgrowth. Corresponding microscopy of the lungs showed septic microthromboemboli within small pulmonary arteries with variable degrees of necrotising acute inflammation and thrombosis. Death was not due to 'acute pulmonary oedema' as had been originally certified but to septic thromboembolism. This case demonstrates the need to carefully evaluate the prostatic venous plexus at autopsy, and also the type of problems that may arise at the time of the re-examination of repatriated remains.

一具被遣送回国的尸体出现致命的化脓性肺血栓栓塞症--长期导尿术的罕见并发症。
本病例报告了一名 51 岁男性因长期导尿导致前列腺静脉丛血栓性静脉炎而引发的化脓性肺血栓栓塞症。尽管之前的尸检是在他居住的海外国家进行的,但复检显示组织学证据表明他患有轻度斑片状慢性前列腺炎,前列腺周围静脉丛血栓性静脉炎伴有脓肿形成和细菌过度生长。相应的肺部显微镜检查显示,肺部小动脉内有化脓性微血栓栓塞,并伴有不同程度的坏死性急性炎症和血栓形成。死亡原因并非最初证明的 "急性肺水肿",而是脓毒性血栓栓塞。该病例表明,在尸检时需要仔细评估前列腺静脉丛,同时也说明了在重新检查运回的遗骸时可能会出现的问题类型。
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来源期刊
Medicine, Science and the Law
Medicine, Science and the Law 医学-医学:法
CiteScore
2.90
自引率
6.70%
发文量
53
审稿时长
>12 weeks
期刊介绍: Medicine, Science and the Law is the official journal of the British Academy for Forensic Sciences (BAFS). It is a peer reviewed journal dedicated to advancing the knowledge of forensic science and medicine. The journal aims to inform its readers from a broad perspective and demonstrate the interrelated nature and scope of the forensic disciplines. Through a variety of authoritative research articles submitted from across the globe, it covers a range of topical medico-legal issues. The journal keeps its readers informed of developments and trends through reporting, discussing and debating current issues of importance in forensic practice.
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