Fatal intraabdominal bleeding from ectopic varices: report of two autopsy cases
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A 43-year-old man was found dead in his apartment. The man had a clinical history of alcoholic liver cirrhosis with several previous episodes of hematemesis and melena. One year previously he had undergone a laparotomy because of a perforated gastric ulcer. At medico-legal autopsy, there was an old surgical scar measuring 19 cm in length on the midline of the abdomen, corresponding to partial fibrous adhesions between the peritoneum and ascending colon within the abdominal cavity. The abdominal cavity contained 3,650 mL of blood. Remarkably dilated veins were running tortuously within the mesentery of the ascending colon and examination of this region showed a small tear (1.0 cm in diameter) with adjacent hemorrhage within the fatty tissue of the mesentery (Fig. 1). The liver was firm with an irregular macronodular surface but there were no esophageal varices. The spleen was enlarged and firm. All abdominal organs appeared pale. Trauma to the abdomen was excluded by di
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- Fatal intraabdominal bleeding from ectopic varices: report of two autopsy cases
Forensic Science, Medicine, and Pathology
Volume 9, Issue 1 , pp 96-99
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- 1. Institute of Legal Medicine and Forensic Sciences, University Medical Centre Charité, University of Berlin, Turmstr. 21, Building N, 10559, Berlin, Germany
- 2. Department of Legal Medicine, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8544, Japan
- 3. State Institute of Forensic Medicine, Turmstr. 21, Building L, 10559, Berlin, Germany
- 4. Institute of Pathology, University Medical Centre Charité, University of Berlin, Charitéplatz 1, 10117, Berlin, Germany