Fatal spontaneous rupture of common iliac artery associated with fibromuscular dysplasia
| Autor: | Xiang Xu, Yan-Geng Yu, Fu Zhang, Mengchen Tsai, Ning Xiao, Dong-Ri Li, Xiao-Hui Tan, Huijun Wang, Qi Wang, Wei-Bing Xie |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
fibromuscular dysplasia sudden death Autopsy Case Reports Fibromuscular dysplasia Right Common Iliac Artery 030204 cardiovascular system & hematology Biochemistry Genetics and Molecular Biology (miscellaneous) Sudden death Pathology and Forensic Medicine Analytical Chemistry 03 medical and health sciences 0302 clinical medicine abdominal aortic dissection medicine.artery Medicine 030216 legal & forensic medicine Physical and Theoretical Chemistry common iliac artery rupture business.industry Vascular disease Abdominal aorta forensic pathology medicine.disease Left Common Iliac Artery Common iliac artery Surgery Psychiatry and Mental health Anthropology Forensic science Radiology business |
| Zdroj: | Forensic Sciences Research |
| ISSN: | 2471-1411 2096-1790 |
| DOI: | 10.1080/20961790.2016.1274467 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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