Case report: fatal bleeding from a duodenal ulcer-Dieulafoy's lesion?

被引：4

作者：

Ulbricht, Julia ^{[1
]}

Madea, Burkhard ^{[1
]}

Doberentz, Elke ^{[1
]}

机构：

[1] Univ Hosp Bonn, Inst Legal Med, Stiftspl 12, D-53111 Bonn, Germany

来源：

INTERNATIONAL JOURNAL OF LEGAL MEDICINE | 2022年 / 136卷 / 01期

关键词：

Dieulafoy's lesion; Large caliber vessel; Fatal hemorrhage; Gastrointestinal bleeding; Duodenal ulcer;

D O I：

10.1007/s00414-021-02721-w

中图分类号：

DF [法律]; D9 [法律]; R [医药、卫生];

学科分类号：

0301 ; 10 ;

摘要：

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.

引用

页码：203 / 208

页数：6

共 13 条

[1] Dieulafoy's disease [J].

Chaer, RA ;

Helton, WS .

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2003, 196 (02) :290-296

[2] MULTICENTER PROSPECTIVE-STUDY OF THE CURRENT STATE OF TREATMENT IN GERMANY OF BLEEDING PEPTIC-ULCER [J].

ELL, C ;

HAHN, EG ;

HAGENMULLER, F ;

SCHMITT, W ;

RIEMANN, JF ;

HOHENBERGER, W .

DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 1995, 120 (1-2) :3-9

[3] Acute gastrointestinal bleeding [J].

Goelder, S. K. ;

Messmann, H. .

NOTFALL & RETTUNGSMEDIZIN, 2010, 13 (02) :159-170

[4]

Jain R, 2009, ARCH PATHOL LAB MED, V133, P1865, DOI 10.1043/1543-2165-133.11.1865

[5]

Khemtai, 2002, THAI J SURG, V23, P87

[6] THE CALIBER PERSISTENT ARTERY OF THE STOMACH - A UNIFYING APPROACH TO GASTRIC ANEURYSM, DIEULAFOYS LESION, AND SUBMUCOSAL ARTERIAL MALFORMATION [J].

MIKO, TL ;

THOMAZY, VA .

HUMAN PATHOLOGY, 1988, 19 (08) :914-921

[7] Gastrointestinal bleeding from Dieulafoy's lesion: Clinical presentation, endoscopic findings, and endoscopic therapy [J].

Nojkov, Borko ;

Cappell, Mitchell S. .

WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY, 2015, 7 (04) :295-307

[8] Time course of cortical hemorrhages after closed traumatic brain injury: Statistical analysis of posttraumatic histomorphological alterations [J].

Oehmichen, M ;

Walter, T ;

Meissner, C ;

Friedrich, HJ .

JOURNAL OF NEUROTRAUMA, 2003, 20 (01) :87-103

[9] Vascular lesions of the gastrointestinal tract [J].

Regula, Jaroslaw ;

Wronska, Ewa ;

Pachlewski, Jacek .

BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY, 2008, 22 (02) :313-328

[10] VARIATION IN OUTCOME AFTER ACUTE UPPER GASTROINTESTINAL HEMORRHAGE [J].

ROCKALL, TA ;

LOGAN, RFA ;

DEVLIN, HB ;

NORTHFIELD, TC .

LANCET, 1995, 346 (8971) :346-350

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