Sudden death in an adolescent due to primary angiosarcoma of the right atrium
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A 16 year old male adolescent of African ethnicity presented to a health care facility with a long standing history of chronic coughing. The treating medical practitioner requested a chest X-ray which revealed a large left sided pleural effusion. The patient was subsequently transferred to a referral hospital (one Military Hospital) in Pretoria, South Africa. Shortly after the patient arrived in the casualty department, he was in severe respiratory distress and active resuscitation had to be initiated. Despite full resuscitation efforts, the patient demised.
The deceased was referred for a medico-legal postmortem examination in terms of the Inquests Act 58 of 1959 (also in accordance with the Regulations Regarding the Rendering of Forensic Pathology Service R636) as a sudden and unexpected death.
KeywordsAngiosarcoma Cardiac Tumor Human Herpesvirus Interatrial Septum Forensic Postmortem Examination
The authors would like to thank prof Christopher DM Fletcher for reviewing and confirming the histological diagnosis.
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