Sudden death due to spontaneous rupture in splenic artery atypical dissection with features of vasculitis: Case report and review of the literature
Autor: | Cathryn Anne Scott, Iginio Piai, Lorenzo Desinan, Gionata Maria Mazzolo |
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Rok vydání: | 2010 |
Předmět: |
Male
Vasculitis Spontaneous rupture medicine.medical_specialty Abdominal pain Lumen (anatomy) Hemorrhage Autopsy Splenic artery Sudden death Pathology and Forensic Medicine Death Sudden medicine.artery Humans Medicine Forensic Pathology Hematoma Rupture Spontaneous business.industry Vasa Vasorum Splenic Rupture Middle Aged medicine.disease Surgery Aortic Dissection medicine.anatomical_structure Vasa vasorum Splenic artery dissection Radiology medicine.symptom business Splenic Artery Law |
Zdroj: | Forensic Science International. 200:e1-e5 |
ISSN: | 0379-0738 |
Popis: | A case of sudden death in a 45-year-old man due to splenic artery dissection and rupture diagnosed at a medico-legal autopsy is described. The examination of the splenic artery revealed macroscopically the features of a ruptured intramural haematoma (no intimal tear, no lumen dilation) and histologically the characteristics of a lymphoplasmacytic vasculitis of the vasa vasorum associated with fibrinoid degeneration. The patient died at home after having been discharged from hospital where he had presented for modest abdominal pain with no evidence of the true nature of the disease found using echography. The Authors discuss the literature relative to splenic artery dissection (13 cases of which only one diagnosed in vivo), the present case being the only one due to vasculitis of the vasa vasorum and the forensic implications (autopsy was ordered to examine the causes of death, to verify whether diagnosis could have been reached during hospitalization with consequences on the outcome and if a hypothesis of malpractice could be prospected). |
Databáze: | OpenAIRE |
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