Document Detail

Hemorrhage from a cavernous hemangioma with fatal blood aspiration: A rare cause of sudden unexpected death.
MedLine Citation:
PMID:  20729125     Owner:  NLM     Status:  MEDLINE    
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.
Takaki Ishikawa; Stefan Pollak; Markus Grosse Perdekamp; Annette Thierauf; Hitoshi Maeda
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-08-21
Journal Detail:
Title:  Legal medicine (Tokyo, Japan)     Volume:  12     ISSN:  1873-4162     ISO Abbreviation:  Leg Med (Tokyo)     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-05     Completed Date:  2011-01-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100889186     Medline TA:  Leg Med (Tokyo)     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  308-12     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
Institute of Legal Medicine, University Hospital Freiburg, 79104 Freiburg, Germany.
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MeSH Terms
Arteriovenous Malformations
Cause of Death
Death, Sudden
Fatal Outcome
Forensic Pathology
Hemangioma, Cavernous / blood*,  complications,  pathology
Hemorrhage / etiology*,  pathology
Lung / physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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