| Hemorrhage from a cavernous hemangioma with fatal blood aspiration: A rare cause of sudden unexpected death. | |
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MedLine Citation:
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PMID: 20729125 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Blood aspiration may be fatal, even when caused by a minor hemorrhage, and then it is important to localize and identify the source of bleeding in order to determine its origin as traumatic, spontaneous or iatrogenic. The present case deals with the clinically unexpected sudden death of a 73-year-old woman who underwent pulmonary artery catheterization (PAC) 11 days before because of known pulmonary hypertension. The forensic autopsy revealed a previously undiagnosed cavernous hemangioma of the right lung which had led to a local intrapulmonary hemorrhage with secondary bleeding into the bronchial tree. The fatal blood aspiration was preceded by recurrent episodes of hemoptysis, and its occurrence was probably promoted by the pre-existing pulmonary hypertension. The present case and other reports in the medical literature suggest that vessel malformations of the lung have to be considered as a potential cause of unexpected sudden death. Careful investigation is needed for post-mortem identification of the bleeding site. |
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Authors:
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Takaki Ishikawa; Stefan Pollak; Markus Grosse Perdekamp; Annette Thierauf; Hitoshi Maeda |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-08-21 |
Journal Detail:
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Title: Legal medicine (Tokyo, Japan) Volume: 12 ISSN: 1873-4162 ISO Abbreviation: Leg Med (Tokyo) Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-05 Completed Date: 2011-01-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100889186 Medline TA: Leg Med (Tokyo) Country: Ireland |
Other Details:
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Languages: eng Pagination: 308-12 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Institute of Legal Medicine, University Hospital Freiburg, 79104 Freiburg, Germany. takaki@med.osaka-cu.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Arteriovenous Malformations Autopsy Cause of Death Death, Sudden Fatal Outcome Female Forensic Pathology Hemangioma, Cavernous / blood*, complications, pathology Hemorrhage / etiology*, pathology Humans Lung / physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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