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首页> 外文期刊>Legal medicine >Death due to non-traumatic hemoperitoneum in Milan 2002–2016, with focus on two cases of abdominal apoplexy (idiopathic spontaneous hemoperitoneum) and review of the literature
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Death due to non-traumatic hemoperitoneum in Milan 2002–2016, with focus on two cases of abdominal apoplexy (idiopathic spontaneous hemoperitoneum) and review of the literature

机译：2002 - 2016年米兰非创伤性血管基因子死亡，重点是两种腹部血液（特发性自发血红蛋白）和文献综述

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Highlights ? Abdominal apoplexy is a rare event related to sudden death. ? The presence of hemoperitoneum may be a challenge to forensic post-mortem examination. ? Two cases of sudden death related to massive hemoperitoneum are presented. ? No traumatic injuries were detected and the source of bleeding was not identified. ? A review of the literature was performed on the issue of abdominal apoplexy. Abstract Abdominal apoplexy, also known as idiopathic spontaneous hemoperitoneum, is a rare event related to sudden death, whose diagnosis and treatment is extremely challenging and whose pathologic mechanisms are still mainly unknown. It is frequently associated with vascular disorders (alterations in the vascular structures) and mainly linked to liver cirrhosis. However, the presence of hemoperitoneum may in such cases pose many challenges to forensic post-mortem examinations since the source of bleeding remains often unknown even after a careful and thorough dissection. The Authors present two cases of sudden death related to massive hemoperitoneum (4,650ml in case 1 and 5,100ml in case 2) occurred in two cirrhotic males aged 49 and 51: no traumatic injuries were detected and the source of bleeding was not identified although a careful dissection of organs and vascular structures was performed. Rare cases have been already described in the literature, only as case reports, and no systematic studies have been performed on this issue. Nevertheless, this event ought to be taken into account asa cause of sudden death in people with advanced liver disease. A general glimpse is provided among the different causal mechanisms and the challenges within forensic pathology.
机译：强调 ？腹部举行是一个与突然死亡有关的罕见事件。还血管内的存在可能是对法医后检查的挑战。还提出了与大规模血红蛋白相关的两种情况。还未检测到创伤损伤，未识别出血的来源。还对文献进行了综述，对腹部举行的问题进行了。摘要腹部中风，又称特发性自发性血管基，是一种难以突然死亡的罕见事件，其诊断和治疗极具挑战性，其病理机制仍然是未知的。它通常与血管障碍（血管结构的改变）相关，主要与肝硬化有关。然而，在这种情况下，血管内的存在可能在验尸后检查许多挑战，因为即使在仔细和彻底的解剖后，出血源常常仍然未知。作者提出了两种与大规模血管基（4,650ml有关1和5,100ml）发生的猝死发生的两种情况，在49岁和51岁的两年血管雄性中发生：未检测到创伤损伤，并且虽然虽然a进行仔细解剖器官和血管结构。在文献中已经描述了罕见的病例，仅作为案例报告，并且没有对此问题进行系统研究。尽管如此，该活动应该考虑到具有先进肝病的人猝死的原因。在不同的因果机制和法医病理中的挑战中提供了一般的一般瞥见。

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