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一个扭曲的故事:一个85岁的女性肠道卷积病例

Henry Elsenpeter¹, Paxten Wahlund¹, Selly Strauch¹

¹Department of Pathology, School of Medicine & Health Sciences, University of North Dakota, Grand Forks, North Dakota, USA, und.edu.

Case reports in pathology

|December 31, 2025

概括

一个85岁的女性的突然死亡是由肠道卷发引起的,这是一种罕见但致命的肠道扭曲. 这项医学法律死亡调查强调了在意外死亡中考虑胃肠道原因的重要性.

科学领域:

法医病理学法医病理学
胃肠病学胃肠病学
内部医学内部医学

背景情况:

医学法律死亡调查 (MDI) 通常涉及突然,意想不到的死亡,心血管,脑,肺和癌症原因是最常见的.
胃肠道疾病是不太常见的死亡原因,有时表现为掩盖或不存在的疼痛.
肠道卷发,是一种肠道阻塞的形式,可以在任何年龄发生,并导致致命的结果.

研究的目的:

报告一位老年女性因肠道卷发而突然死亡的病例.
强调在医疗法律死亡调查中考虑肠道卷积的重要性,特别是在含糊的腹部症状的情况下.

主要方法:

一位85岁的女性的尸检检查,她死于模糊的腹部抱怨和恶心.
膀和中腔的组织病理学检查.
审查患者的病史和尸检结果.

主要成果:

尸体解剖显示,大肠骨和邻近的中管的卷发,有大肠骨亡和700厘米的血腹腔液.
主要的中腔动脉是明显的,表明缺血的原因是肠道和中腔的扭曲.
该患者是一名85岁的女性,有过甲状腺功能低下病史,在去世前健康状况良好.

结论:

肠道卷发可以导致突然死亡,即使在看似健康的个体.
通过医疗法律死亡调查进行准确的诊断对于了解死亡原因和向家人提供答案至关重要.
这一案例强调了对意外死亡的胃肠道原因进行彻底调查的必要性.

关键词:

案例报告案例报告法医医学在法医医学上.小肠阻塞小肠阻塞卷发性卷发性卷发性

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