scholarly journals Case report: fatal bleeding from a duodenal ulcer—Dieulafoy’s lesion?

Author(s):  
Julia Ulbricht ◽  
Burkhard Madea ◽  
Elke Doberentz

Abstract A 46-year-old man was admitted to the hospital by ambulance due to syncope. A standard blood screening showed a normal Hb value. The man had known hemorrhoids and a single fresh rectal bleeding earlier at home. On the following morning, the patient suddenly required resuscitation within a few minutes and subsequently died. Autopsy revealed a fatal hemorrhage with blood loss in the stomach and small and large intestines and a mucosal defect of the duodenum. After autopsy, the question arose whether the cause of death might have been a rare Dieulafoy’s lesion—aim of this case report was to clarify the diagnosis.

2011 ◽  
Vol 68 (12) ◽  
pp. 1075-1078
Author(s):  
Dragana Cukic

Introduction. Bleeding to death is one of the leading causes of death speaking about violent death in general. Bleeding to death mostly happens through hurt organs or blood vessels of thorax, abdomen and neck or because of destruction of extremities or the whole body. Bleeding to death is very often the consequence of blood pouring, rarely of simultaneous pouring and suffusing of blood, and it is extremely rarely the result of blood suffusing solely and especially due to subcutaneous, retoperitoneal and intramediastinal blood suffusing. Fatal bleeding into soft tissues solely is very rare. During a 10- year- period among 3 000 performed autopsies in the Department of Forensic Medicine in Podgorica, the presented case was the unique one. Case report. The paper presents a 5-year-old boy who was beaten to death by his mother and step-father and died because of massive bleeding into soft tissues. Conclusion. In order to establish a cause of death in cases of exsanguination in soft tissues, a series of postmortem diagnostic procedures should be performed, like those presented in this paper.


2014 ◽  
Vol 142 (1-2) ◽  
pp. 94-98 ◽  
Author(s):  
Slobodan Nikolic ◽  
Vladimir Zivkovic

Introduction. Diseases of the gastrointestinal system, and especially diseases of esophagus, are a rare cause of sudden unexpected death in any age group. Black esophagus is an acute necrotizing inflammation of the mucosa of the lower parts of esophagus, diffusely affecting its entire circumference. This inflammation could be a source of profuse bleeding and cause sudden unexpected death. Case Outline. A case of 76-year-old male was presented herein. He has been treated for hypertension and diabetes for several years. As a consequence of stroke, which happened several months prior to death, he had been hemiplegic and immobilized. He died in hospital, suddenly and unexpectedly. The autopsy showed the acute necrotizing esophagitis, as well as the acute gastric and duodenal erosions of mucosa. These were the causes of fatal blood loss. Conclusion. Acute necrotizing esophagitis should be recognized during autopsy and related to the immediate cause of death as well as to concomitant diseases of other organs, which either potentiate or facilitate presentation of this disease.


2019 ◽  
Vol 11 (7) ◽  
pp. 438-442 ◽  
Author(s):  
Mario Rene Pineda-De Paz ◽  
Massiel Madelin Rosario-Morel ◽  
Jose Guadalupe Lopez-Fuentes ◽  
Luis Ariel Waller-Gonzalez ◽  
Rodrigo Soto-Solis

1950 ◽  
Vol 16 (1) ◽  
pp. 259-261 ◽  
Author(s):  
Elmer W. Heffernon ◽  
Allen C. Johnson
Keyword(s):  

2020 ◽  
Author(s):  
I Lolic ◽  
V Milivojević ◽  
VM Zarić ◽  
N Jocić ◽  
D Popovic ◽  
...  

2008 ◽  
Vol 24 (1) ◽  
pp. 58
Author(s):  
Gyoo Moon ◽  
Jong Beom Park ◽  
Hee Chul Chang ◽  
Chang Huh ◽  
Chang Hee Paik ◽  
...  

2021 ◽  
pp. 102425
Author(s):  
A. Elkaouini ◽  
S. Berrajaa ◽  
M. Aabdi ◽  
M. Merbouh ◽  
S. El Mezzeoui ◽  
...  

Author(s):  
Monika Madaan ◽  
Priyanka Baghotia ◽  
Neha Soni ◽  
Samir Shankar Raj

Vasopressin has long been used in myomectomy to decrease blood loss. Its efficacy is beyond doubt. But at the same time it is known to cause some of the serious cardiovascular side effects. We here report a case of severe bradycardia and impending cardiac arrest caused by intra-myometrial infiltration of 12 U of vasopressin and present a review of literature.


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