Fatal liver cyst rupture in polycystic liver disease complicated with autosomal dominant polycystic kidney disease: A case report.
Forensic Sci Int
; 262: e5-8, 2016 May.
Article
en En
| MEDLINE
| ID: mdl-27050907
ABSTRACT
A 59-year-old man was struck in the abdomen and later presented to the emergency room. His blood pressure dropped and eventually died 16h post trauma and just before emergency exploratory laparotomy. Autopsy revealed two polycystic kidneys and a giant polycystic liver with two ruptures. Blood (2225g) was observed in the peritoneum and the body-surface injury was minor. Genetic testing was performed to confirm that the man had an autosomal dominant polycystic kidney disease (ADPKD) complicated by polycystic liver disease (PLD). Autopsy, histopathology and medical history showed that the cause of death was the ruptures of liver cysts due to trauma. In this communication, we describe a fatal case and hope to increase awareness and recognition of PLD and ADPKD. We also wish to indicate that due to the fragile condition of liver cysts, trauma should be considered even if the body-surface injury is minor in fatal cases of PLD patient with a traumatic history.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Rotura
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Riñón Poliquístico Autosómico Dominante
/
Quistes
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Traumatismos Abdominales
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Hepatopatías
Tipo de estudio:
Etiology_studies
Límite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Forensic Sci Int
Año:
2016
Tipo del documento:
Article