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致命的简单 (dieulafoy病变) - 一个案例报告和审查
Luzern Tan1, John D Gilbert2, Roger W Byard3,4
1Adelaide Medical School, The University of Adelaide, Frome Road, Level 2, Room N237, Helen Mayo North, Adelaide, SA, 5005, Australia.
Forensic science, medicine, and pathology
|September 19, 2024
概括
一个罕见的腹部Dieulafoy病变导致64岁的老人致命出血,与车祸无关. 这种情况,一种下动脉侵蚀到胃膜中,可以导致严重的胃肠道出血.
科学领域:
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
- 法医医学 法医医学
背景情况:
- 叶病变是急性胃肠道出血的罕见原因,占病例的1-2%.
- 这些病变涉及一种下膜动脉,它侵蚀到胃膜中,可能导致大量出血.
- 对于Dieulafoy病变的发病因子的了解仍然很少.
研究的目的:
- 为了呈现由Dieulafoy病变引起的致命胃肠道出血病例.
- 为了突出诊断的挑战,在尸检期间识别小的Dieulafoy病变.
- 为了强调Dieulafoy病变的潜在严重性,即使没有创伤.
主要方法:
- 在低速车辆碰撞后,对64岁男性的解剖检查.
- 胃肠道的详细粗体和组织学检查.
- 尸检结果与死亡原因的相关性.
主要成果:
- 尸体解剖显示,从胃到直肠的血液发生了变化,表明有显著的胃肠道出血.
- 确定了一种Dieulafoy病变,其特征在于状动脉,位于进入胃膜的下粘膜开口.
- 死亡原因被确定为出血的Dieulafoy病变,心壮病是导致的因素;车辆碰撞没有涉及.
结论:
- 叶病变可以导致危及生命的胃肠道出血.
- 由于Dieulafoy病变的小尺寸和微妙性质,在尸检期间很难检测到它们.
- 这一案例强调了在无法解释的胃肠道出血中考虑Dieulafoy病变的重要性,即使存在其他潜在原因,如创伤.
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