AI Article Synopsis
- - An 80-year-old man with diabetes and receiving hemodialysis died from massive bleeding due to splenic peliosis; a rare condition where blood-filled cysts form in the spleen.
- - Postmortem imaging revealed significant abdominal hemorrhage, especially around the spleen, and the autopsy found clotted blood and ruptured areas on the spleen.
- - The case highlighted the importance of understanding the histopathological features of peliosis in forensic studies, as its rupture can lead to fatal bleeding despite the condition's usual rarity as a cause of death.
Article Abstract
We report findings from an autopsy case who died from massive bleeding because of splenic peliosis. The case subject was an 80-year-old man who had diabetes mellitus and who was receiving hemodialysis and anticoagulant therapy. Postmortem computed tomography demonstrated massive intra-abdominal hemorrhage especially seen around the spleen. At autopsy, we found abundant hemorrhagic ascites, including a large number of clots, in the abdominal cavity. The spleen had several distinct dark red areas ranging in size from 1.5 to 2.5 cm and showed spontaneous rupture along with hematoma formation on the outside of the splenic capsule on the anterior side. From these findings, we concluded that the cause of death in this case was massive hemorrhage owing to spontaneous rupture of splenic peliosis. Although peliosis itself rarely causes death, but when it is destroyed, massive bleeding leads to death. Thus, it is necessary to know the histopathological characteristics of peliosis, in forensics.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.legalmed.2021.101966 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!