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[A study of 44 forensic autopsy cases of adrenal hemorrhage]
1School of Forensic Medicine, West China University of Medical Science, Chengdu 610041, P. R. China.
Insights
Forensic autopsies revealed adrenal hemorrhage (AH) predominantly affects males aged 20-40. Traumatic AH is common in young men, while pathological AH occurs in older individuals, often bilaterally.
Area of Science:
- Forensic pathology
- Adrenal gland pathology
Context:
- Analysis of 44 adrenal hemorrhage (AH) cases from forensic autopsies.
- AH presentation varies significantly with patient demographics and etiology.
Purpose:
- To characterize the demographic and pathological features of adrenal hemorrhage.
- To investigate the location and grading of AH in relation to survival time.
Summary:
- Adrenal hemorrhage (AH) predominantly affects males aged 20-40.
- Traumatic AH is more prevalent in younger males, whereas pathological AH is more common in the elderly.
- AH frequently occurs at the bilateral adrenal corticomedullary junction, independent of survival intervals.
Impact:
- Provides insights into the distinct patterns of traumatic versus pathological adrenal hemorrhage.
- Highlights the common bilateral corticomedullary junctional involvement in AH.
- Contributes to understanding the pathology and forensic implications of adrenal hemorrhage.
Abstract:
44 cases of adrenal hemorrhage (AH) were analyzed. The forensic autopsy showed that AH occurred mainly in male aged from 20 to 40 years old. The traumatic AH was more often seen in young men and the pathologic AH was mostly seen in elderly persons. AH were more likely found in bilateral adrenal corticomedullary junction. The pathological grade of AH was not related to the interval time of survival. The pathologic mechanism of AH was discussed as well.