An atypical case of fatal 'esophageal apoplexy': post-mortem findings and differential diagnosis.
Int J Legal Med
; 2024 Jun 27.
Article
em En
| MEDLINE
| ID: mdl-38926244
ABSTRACT
Forensic pathologists need to have comprehensive knowledge of a large variety of causes of sudden natural death. We describe a case of sudden and unexpected death in woman in her sixties due to rupture of a large paraesophageal hematoma. The post-mortem examination and differential diagnosis are discussed. The combined findings of whole-body post-mortem CT imaging (PMCT), targeted PMCT angiography, autopsy, and histology are most in keeping with 'esophageal apoplexy'; a rare cause of hemorrhage in the esophageal wall. A review of the literature indicates that most cases of esophageal apoplexy are self-limiting and that fatal complications are exceedingly rare. Our case demonstrates that esophageal apoplexy can present as sudden unexpected death.
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MEDLINE
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Ano de publicação:
2024
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Article