1. Splenic peliosis associated with spontaneous rupture and massive bleeding
- Author
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Kie Horioka, Namiko Ishii, Yousuke Makino, Ayumi Motomura, Keisuke Okaba, Hiroyuki Inoue, Shinnosuke Yamada, Takayuki Shiomi, and Daisuke Yajima
- Subjects
Aged, 80 and over ,Male ,Pathology ,medicine.medical_specialty ,Rupture, Spontaneous ,Splenic Capsule ,business.industry ,medicine.medical_treatment ,Autopsy ,Spleen ,Abdominal cavity ,Splenic Rupture ,medicine.disease ,Pathology and Forensic Medicine ,Issues, ethics and legal aspects ,Hematoma ,medicine.anatomical_structure ,Massive bleeding ,Hemoperitoneum ,medicine ,Humans ,Hemodialysis ,business ,Cause of death - Abstract
We report findings from an autopsy case who died from massive bleeding because of splenic peliosis. The case subject was an 80-year-old man who had diabetes mellitus and who was receiving hemodialysis and anticoagulant therapy. Postmortem computed tomography demonstrated massive intra-abdominal hemorrhage especially seen around the spleen. At autopsy, we found abundant hemorrhagic ascites, including a large number of clots, in the abdominal cavity. The spleen had several distinct dark red areas ranging in size from 1.5 to 2.5 cm and showed spontaneous rupture along with hematoma formation on the outside of the splenic capsule on the anterior side. From these findings, we concluded that the cause of death in this case was massive hemorrhage owing to spontaneous rupture of splenic peliosis. Although peliosis itself rarely causes death, but when it is destroyed, massive bleeding leads to death. Thus, it is necessary to know the histopathological characteristics of peliosis, in forensics.
- Published
- 2021