Unexpected natural death secondary to intra-abdominal bleeding: report of one idiopathic spontaneous intraperitoneal hemorrhage case.

Details

Serval ID
serval:BIB_10B155B5734F
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
Unexpected natural death secondary to intra-abdominal bleeding: report of one idiopathic spontaneous intraperitoneal hemorrhage case.
Journal
Forensic Science International
Author(s)
Dedouit F., Piercecchi-Marti M.D., Leonetti G., Rougé D., Telmon N.
ISSN
1872-6283 (Electronic)
ISSN-L
0379-0738
Publication state
Published
Issued date
2012
Peer-reviewed
Oui
Volume
214
Number
1-3
Pages
e43-e46
Language
english
Notes
Publication types: Case Reports ; Journal ArticlePublication Status: ppublish
Abstract
A 39-year-old woman was found dead at home. She was single, foreign national, chronic alcoholic, and had given shelter to a compatriot for three days. This man found the deceased in her bed, after a night of heavy drinking. The emergency medical team observed numerous recent blue ecchymoses of the upper limbs. Because of the unclear circumstances, a medicolegal autopsy was ordered by the public prosecutor. Massive hemoperitoneum was diagnosed with no visible internal traumatic injury. Autopsy revealed hepatic and pancreatic abnormalities secondary to chronic alcoholism, which were confirmed by pathological study. The source of the hemoperitoneum was not identified despite careful visceral and vascular examination. The authors concluded that death was secondary to idiopathic spontaneous hemoperitoneum or abdominal apoplexy. The forensic literature on unexpected death due to massive nontraumatic intra-abdominal hemorrhage in association with liver cirrhosis is sparse, with only five cases reported, including the present case.
Keywords
Adult, Alcoholism/complications, Fatal Outcome, Female, Hemoperitoneum/pathology, Hemorrhage/pathology, Humans, Liver Cirrhosis/pathology, Pancreatitis, Chronic/pathology, Peritoneal Diseases/pathology
Pubmed
Web of science
Create date
12/01/2016 10:23
Last modification date
20/08/2019 12:37
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