Unattended fatal haemorrhage associated with spontaneous rupture of peripheral varicosity
Authors:
P. Hejna 1; M. Ublová 1; Straka L´. 2; L. Zátopková 1
Authors place of work:
Ústav soudního lékařství FN a LF UK, Šimkova 870, 500 38 Hradec Králové
1; Ústav súdneho lekárstva a medicínskych expertíz JLF UK a UNM, Kollárova 10, 036 01 Martin, Slovenská republika
2
Published in the journal:
Soud Lék., 57, 2012, No. 2, p. 18-20
Category:
Original Article
Summary
Crural ulcers are found in 3–5 % of the population, venous ulcers appear in 0,15–2 % of the population. Acute hemorrhage from venous ulcer is a rare complication which can lead to unattended and rapid external blood loss. Herein we present a case of 65-year-old man who was found in the kitchen of his flat in a large pool of blood with blood-tinged simple bandage applied on the right leg. At autopsy was revealed rupture of varicose vein at the base of large venous ulcer leading to fatal haemorrhage.
Keywords:
chronic venous insufficiency – ulcus cruris – varicose veins – fatal hemorrhage – unexpected death
Zdroje
1. Herman J, Musil D. Žilní onemocnění dolních končetin. In: Herman J, Musil D, et al. Žilní onemocnění v klinické praxi. Grada Publishing: Praha; 2011: 157–222.
2. Byard RW, Gilbert JD. The incidence and characteristic features of fatal hemorrhage due to ruptured varicose veins. A 10-year autopsy study. Am J Forensic Med Pathol 2007; 28: 299–302.
3. Hejna P. A case of fatal spontaneous varicose vein rupture- an example of incorrect first aid. J Forensic Sci 2009; 54: 1146–1148.
4. Püschel K. Plötzlicher Tod im Erwachsenenalter. In: Brinkmann B, Madea B, et al. Handbuch gerichtliche Medizin, vol. 1. Springer Verlag: Berlin; 2004: 1041.
5. Jelev L, Alexandrov A. A case of fatal bleeding from acute varicose leg ulcer: clinic- pathological characteristic. EJVES Extra 2011. doi: 10.1016/j.ejvs.2011.04.034.
6. Müller M, et al. Chirurgie pro studium a praxi. Goldstein & Goldstein 1997: 75–82.
7. Evans GA, Evans DMD, Seal RME, Craven JL. Spontaneous fatal haemorrhage caused by varicose veins. Lancet 1973; 1: 1359–1361.
8. Schollmeyer W, Scheibe J, Goring HD. Tödliche Varicenblutung nach Hundebiss. Monatsschr Unfallheilkd Versicher Versorg Verkehrsmed 1966; 69: 458–460.
9. Bachu GS. Sluchai smerti ot krovopoteri iz varikozno rasshirennykh ven nizhnikh konechnostei pri neznachitel‘noi travme. Sud Med Ekspert 1969;12: 49–50.
10. Papp Z, Elek L. Elverzes visszeresseg okozta labszarfekelybol. Morphol Igazsagugyi Orv Sz 1983; 23: 61–62.
11. Vock R, Betz P. Seltene Verblutungstodesfälle. Ein Beitrag zur Kausistik der Blutung aus Unterschenkelvarize. In: Schütz H, Kaatsch HK, Thomsen H (editors). Medizinrecht - Psychopathologie – Rechtsmedizin, Springer-Verlag: Berlin; 1991 : 611–617.
12. Morrow PL, Hardin NJ, Karn CM, Beloin R, McDowell RW. Fatal hemorrhage caused by varicose veins. Am J Forensic Med Pathol 1994; 15: 100–104.
13. Wigle RL, Anderson GV Jr. Exsanguinating hemorrhage from peripheral varicosities. Ann Emerg Med 1998; 17: 80–2, 135–137.
14. Racette S, Sauvageau A. Unusual sudden death: two case reports of hemorrhage by rupture of varicose veins. Am J Forensic Med Pathol 2005; 26: 294–296.
15. Sauvageau A, Schellenberg M, Racette S, Julien F. Bloodstain pattern analysis in a case of fatal varicose vein rupture. Am J Forensic Med Pathol 2007; 28: 35–37.
16. Cittadini F, Albertacci G, Pascali VL. Unattended fatal hemorrhage by spontaneous rupture of a varicose vein. Am J Forensic Med Pathol 2008; 29: 92.
17. Cocker DM, Nyamekye IK. Fatal haemorrhage from varicose veins: is the correct advice being given? J R Soc Med 2008; 101: 515–516.
18. Doberentz E, Hagemeier L, Veit C, Madea B. Unattended fatal haemorrhage due to spontaneous peripheral varicose vein rupture – two case reports. Forensic Sci Int 2011; 206: 12–16.
19. Sauvageau A, Schellenberg M, Racette S, Julien F. Bloodstain pattern analysis in a case of fatal varicose vein rupture. Am J Forensic Med Pathol 2007; 28: 35–37.
20. Byard RW, Veldhoen D, Manock C, Gilbert JD. Blood stain pattern interpretation in cases of fatal haemorrhage from ruptured varicose veins. J Forensic Leg Med 2007; 14: 155–158.
21. Zhou C, Langlois NE, Byard RW. Femoral Artery Pseudoaneurysm and Sudden Death. J Forensic Sci. 2011. doi: 10.1111/j.1556-4029.2011.01897.x
22. Türk EE, Lockemann U, Tsokos M. Fatal bleeding from major femoral vessels: three case reports. Int J Legal Med 2007; 121: 220–222.
Štítky
Anatomical pathology Forensic medical examiner ToxicologyČlánok vyšiel v časopise
Forensic Medicine
2012 Číslo 2
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