Fatal spontaneous rupture of common iliac artery associated with fibromuscular dysplasia.

Autor:	Xu X; School of Forensic Medicine, Southern Medical University, Guangzhou, China.; School of Forensic Medicine, Wannan Medical College, Wuhu, China., Tsai M; Department of Forensic Medicine, College of Medicine, National Taiwan University, Taipei, China., Xiao N; School of Forensic Medicine, Southern Medical University, Guangzhou, China., Tan X; School of Forensic Medicine, Southern Medical University, Guangzhou, China., Zhang F; Guangdong Public Security Department, Key Lab of Forensic Pathology, Guangzhou, China., Yu Y; Guangdong Public Security Department, Key Lab of Forensic Pathology, Guangzhou, China., Wang Q; School of Forensic Medicine, Southern Medical University, Guangzhou, China., Xie W; School of Forensic Medicine, Southern Medical University, Guangzhou, China., Wang H; School of Forensic Medicine, Southern Medical University, Guangzhou, China., Li D; School of Forensic Medicine, Southern Medical University, Guangzhou, China.
Jazyk:	angličtina
Zdroj:	Forensic sciences research [Forensic Sci Res] 2017 Jan 31; Vol. 4 (4), pp. 358-363. Date of Electronic Publication: 2017 Jan 31 (Print Publication: 2019).
DOI:	10.1080/20961790.2016.1274467
Abstrakt:	A previously healthy 25-year-old man with no known risk factors was presented at the emergency room with a 3 h history of abdominal and loin pain. Physical examination and lab data showed no specific findings except tenderness, slight white cell count elevation and decreased haemoglobin level. The patient's condition deteriorated over the following hours and he died despite resuscitation attempts. Autopsy revealed a 2.5-cm longitudinal tear in the intima of the right common iliac artery, which formed a thrombosed false lumen extending to the abdominal aorta proximally and to the left common iliac artery. Histopathologic examination revealed the characteristic changes of fibromuscular dysplasia (FMD). FMD involving the common iliac arteries is extremely rare; only six cases have been reported previously, and only two of those included forensic findings. The presented case is the first case of FMD with intimal tearing in the right common iliac artery, with propagation to the left common iliac artery and abdominal aorta. When a previously healthy young adult without hypertension or other risk factors presents with acute abdominal and loin pain, systemic vascular disease should be on the list of differential diagnoses. Careful and complete evaluation of multiple arteries can be critical. (© 2016 The Author(s). Published by Taylor & Francis Group on behalf of Forensic Science, Ministry of Justice, People's Republic of China.)
Databáze:	MEDLINE
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