Sigmoid volvulus and unexpected death in the elderly

Area of Science:

• Forensic Pathology
• Gastroenterology

Background:

• Gastrointestinal disorders causing unexpected death are rare in adults.
• Elderly individuals may present atypically with severe gastrointestinal conditions.

Purpose of the Study:

• To describe a case of unexpected death due to sigmoid volvulus.
• To highlight the importance of autopsy in diagnosing such cases.

Main Methods:

• Autopsy examination of an 84-year-old female found deceased at home.

Main Results:

• Massively dilated sigmoid colon with volvulus and intestinal infarction.
• Death attributed to ischemic necrosis, fluid/electrolyte sequestration, and sepsis.

Conclusions:

• Sigmoid volvulus can lead to unexpected death, particularly in the elderly.
• Autopsy is crucial for diagnosing infarcted sigmoid volvulus as a cause of death.