Document Detail

Sigmoid volvulus and unexpected death in the elderly.
MedLine Citation:
PMID:  15274964     Owner:  NLM     Status:  PubMed-not-MEDLINE    
An 84-year-old female who was found unexpectedly dead at her home was shown at autopsy to have a massively dilated sigmoid colon with twisting of the lower colon on an unusually long mesentery. The volvulus had caused mechanical obstruction of the bowel with critical reduction of the blood supply resulting in intestinal infarction. Death was due to ischaemic necrosis of the lower large intestine with significant fluid and electrolyte sequestration within the bowel lumen, associated with disseminated sepsis. Gastrointestinal disorders that may result in unexpected death are uncommon in adults and may present atypically in the elderly. The diagnosis of unexpected death due to an infarcted sigmoid volvulus may not be established until an autopsy has been undertaken.
M Pannell; R W Byard
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical forensic medicine     Volume:  8     ISSN:  1353-1131     ISO Abbreviation:  J Clin Forensic Med     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2004-07-27     Completed Date:  2005-02-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9434927     Medline TA:  J Clin Forensic Med     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  228-30     Citation Subset:  -    
Forensic Science Centre, Adelaide, Australia.
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