Vertebral column kyphoscoliosis and unexpected death |
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Authors: | Saskia S Guddat Michael Tsokos Sarah Schalinski Roger W Byard |
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Institution: | 1.Institute of Legal Medicine and Forensic Sciences,Charité-Universit?tsmedizin Berlin,Berlin,Germany;2.Discipline of Pathology,University of Adelaide,Adelaide,Australia |
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Abstract: | A case of spontaneous gastric perforation is reported in a 75-year-old woman due to massive hemorrhaging from a benign gastric
ulcer. Blood was prevented from leaving the stomach due to posterior displacement and rotation of the stomach associated with
marked underlying vertebral column kyphoscoliosis. Significant deformity of the spine had caused malpositioning of the stomach
as a result of the abnormal shape of the peritoneal and chest cavities. This in turn had led to mechanical obstruction and
prevented egress of blood arising from a bleeding arteriole in the base of a chronic gastric ulcer. Rapid distension had resulted
from the inability to spontaneously decompress the stomach, which in turn had led to rupture. |
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Keywords: | Acute gastric dilatation Rupture Hemorrhage Peptic ulcer Kyphoscoliosis |
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