Hemorrhagic shock due to ruptured idiopathic intramural hematoma of the sigmoid colon—An autopsy case report
We describe herein an autopsy case involving fatal hemorrhagic shock due to idiopathic sigmoid colonic intramural hematoma rupturing into the abdominal cavity. Antemortem computed tomography revealed a mass lesion in the sigmoid colon and a large amount of hemoperitoneum. On forensic autopsy, intram...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S193004332201127X |
| _version_ | 1811176125830791168 |
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| author | Norihiro Shinkawa, MD, PhD Eiji Kakizaki, PhD Ai Sonoda, MSc Nobuhiro Yukawa, MD, PhD |
| author_facet | Norihiro Shinkawa, MD, PhD Eiji Kakizaki, PhD Ai Sonoda, MSc Nobuhiro Yukawa, MD, PhD |
| author_sort | Norihiro Shinkawa, MD, PhD |
| collection | DOAJ |
| description | We describe herein an autopsy case involving fatal hemorrhagic shock due to idiopathic sigmoid colonic intramural hematoma rupturing into the abdominal cavity. Antemortem computed tomography revealed a mass lesion in the sigmoid colon and a large amount of hemoperitoneum. On forensic autopsy, intramural hematoma of the sigmoid colon with ruptured serosa was identified, while the mucosa remained intact. Microscopically, hematomas were apparent, mainly in the muscularis propria. We diagnosed the cause of death as hemorrhagic shock due to idiopathic intramural hematoma of the sigmoid colon rupturing into the abdominal cavity. Although the patient had been receiving peritoneal dialysis, no relationship was identified between dialysis catheters and sigmoid colon intramural hematoma rupture. On computed tomography, the mass lesion was initially considered a submucosal neoplastic lesion or endometriotic lesion. Intramural hematoma should be considered as a differential diagnosis. |
| first_indexed | 2024-04-10T19:47:05Z |
| format | Article |
| id | doaj.art-24218bb69873405582875ccd4af70eb0 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-10T19:47:05Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-24218bb69873405582875ccd4af70eb02023-01-29T04:20:34ZengElsevierRadiology Case Reports1930-04332023-03-0118311901196Hemorrhagic shock due to ruptured idiopathic intramural hematoma of the sigmoid colon—An autopsy case reportNorihiro Shinkawa, MD, PhD0Eiji Kakizaki, PhD1Ai Sonoda, MSc2Nobuhiro Yukawa, MD, PhD3Section of Legal Medicine, Department of Social Medicine, Faculty of Medicine, University of Miyazaki, Kiyotake-cho Kihara 5200, Miyazaki 889-1692, Japan; Radiology Division, Faculty of Medicine, University of Miyazaki Hospital, Miyazaki, Japan; Corresponding author.Section of Legal Medicine, Department of Social Medicine, Faculty of Medicine, University of Miyazaki, Kiyotake-cho Kihara 5200, Miyazaki 889-1692, JapanSection of Legal Medicine, Department of Social Medicine, Faculty of Medicine, University of Miyazaki, Kiyotake-cho Kihara 5200, Miyazaki 889-1692, JapanSection of Legal Medicine, Department of Social Medicine, Faculty of Medicine, University of Miyazaki, Kiyotake-cho Kihara 5200, Miyazaki 889-1692, JapanWe describe herein an autopsy case involving fatal hemorrhagic shock due to idiopathic sigmoid colonic intramural hematoma rupturing into the abdominal cavity. Antemortem computed tomography revealed a mass lesion in the sigmoid colon and a large amount of hemoperitoneum. On forensic autopsy, intramural hematoma of the sigmoid colon with ruptured serosa was identified, while the mucosa remained intact. Microscopically, hematomas were apparent, mainly in the muscularis propria. We diagnosed the cause of death as hemorrhagic shock due to idiopathic intramural hematoma of the sigmoid colon rupturing into the abdominal cavity. Although the patient had been receiving peritoneal dialysis, no relationship was identified between dialysis catheters and sigmoid colon intramural hematoma rupture. On computed tomography, the mass lesion was initially considered a submucosal neoplastic lesion or endometriotic lesion. Intramural hematoma should be considered as a differential diagnosis.http://www.sciencedirect.com/science/article/pii/S193004332201127XIntramural hematomaColonIdiopathicForensic pathology |
| spellingShingle | Norihiro Shinkawa, MD, PhD Eiji Kakizaki, PhD Ai Sonoda, MSc Nobuhiro Yukawa, MD, PhD Hemorrhagic shock due to ruptured idiopathic intramural hematoma of the sigmoid colon—An autopsy case report Radiology Case Reports Intramural hematoma Colon Idiopathic Forensic pathology |
| title | Hemorrhagic shock due to ruptured idiopathic intramural hematoma of the sigmoid colon—An autopsy case report |
| title_full | Hemorrhagic shock due to ruptured idiopathic intramural hematoma of the sigmoid colon—An autopsy case report |
| title_fullStr | Hemorrhagic shock due to ruptured idiopathic intramural hematoma of the sigmoid colon—An autopsy case report |
| title_full_unstemmed | Hemorrhagic shock due to ruptured idiopathic intramural hematoma of the sigmoid colon—An autopsy case report |
| title_short | Hemorrhagic shock due to ruptured idiopathic intramural hematoma of the sigmoid colon—An autopsy case report |
| title_sort | hemorrhagic shock due to ruptured idiopathic intramural hematoma of the sigmoid colon an autopsy case report |
| topic | Intramural hematoma Colon Idiopathic Forensic pathology |
| url | http://www.sciencedirect.com/science/article/pii/S193004332201127X |
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