An atypical case of fatal 'esophageal apoplexy': post-mortem findings and differential diagnosis.

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Article in International journal of legal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

2 authors.

Hans H de BoerVictorian Institute of Forensic Medicine / Department of Forensic Medicine, Monash University, 65 Kavanagh Street, Southbank, VIC, 3006, Australia. hans.de.boer@vifm.org.ORCID http://orcid.org/0000-0001-8590-0945

Chris O'DonnellVictorian Institute of Forensic Medicine / Department of Forensic Medicine, Monash University, 65 Kavanagh Street, Southbank, VIC, 3006, Australia.ORCID http://orcid.org/0000-0003-1507-6772

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Forensic pathologists need to have comprehensive knowledge of a large variety of causes of sudden natural death. We describe a case of sudden and unexpected death in woman in her sixties due to rupture of a large paraesophageal hematoma. The post-mortem examination and differential diagnosis are discussed. The combined findings of whole-body post-mortem CT imaging (PMCT), targeted PMCT angiography, autopsy, and histology are most in keeping with 'esophageal apoplexy'; a rare cause of hemorrhage in the esophageal wall. A review of the literature indicates that most cases of esophageal apoplexy are self-limiting and that fatal complications are exceedingly rare. Our case demonstrates that esophageal apoplexy can present as sudden unexpected death.

Indexed as

Death, SuddenHematomaDiagnosis, DifferentialEsophageal DiseasesEsophagusFemaleHumansMiddle AgedRupture, SpontaneousTomography, X-Ray ComputedAutopsyDissectionEsophageal hematomaEsophagusForensic pathologyForensic radiologyHematomaSudden death

Identifiers

PMID38926244

DOI10.1007/s00414-024-03280-6

PMCPMC11490419

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.