Sudden death of an alcoholic elderly man with acute esophageal necrosis (black esophagus)

被引:12
作者
Unuma, Kana [1 ]
Harada, Kazuki [2 ]
Funakoshi, Takeshi [1 ]
Uemura, Koichi [1 ,3 ]
机构
[1] Tokyo Med & Dent Univ, Sect Forens Med, Grad Sch Med & Dent Sci, Bunkyo Ku, Tokyo 1138519, Japan
[2] Univ Tokyo, Dept Forens Med, Grad Sch Med, Tokyo 1130033, Japan
[3] Osaka Med Examiners Off, Osaka 5400007, Japan
关键词
Black esophagus; Esophageal necrosis; Sudden death; Autopsy; Alcohol;
D O I
10.1016/j.forsciint.2011.05.024
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
We report a fatal case of acute esophageal necrosis (black esophagus) in an elderly male with alcohol abuse who was found dead with coffee-ground vomiting. A postmortem examination revealed severe anemia and marked black coloring of the esophagus from the upper to the bottom end. This was accompanied by histologic evidence of extensive mucosal necrosis. Alcohol abuse and esophagitis-related vomiting were both considered to be factors that led to the acute fatal esophageal necrosis. The cause of death was undetermined. We discuss the possible role of acute esophageal necrosis in the cause of sudden death. (C) 2011 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:E15 / E17
页数:3
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