BMC Research Notes | |
Unusual death due to a bleeding from a varicose vein: a case report | |
Theodore Vougiouklakis1  George T Vougiouklakis1  George Siozios1  Vassiliki A Boumba1  Antigoni Mitselou1  Kleio Fragkouli1  | |
[1] Department of Forensic Medicine and Toxicology, University of Ioannina, Ioannina, Greece | |
关键词: Medical emergency; Autopsy; Massive hemorrhage; Varicose vein rupture; | |
Others : 1165760 DOI : 10.1186/1756-0500-5-488 |
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received in 2012-05-31, accepted in 2012-08-31, 发布年份 2012 | |
【 摘 要 】
Background
Varicose veins are a common entity presenting a worldwide distribution. Although they are usually benign, sometimes are proved to be a threatening condition. Massive hemorrhage is an unusual complication of this common venous pathology that demands immediate medical intervention.
Case presentation
We present a case of a 66-year-old woman found dead in her house surrounded by a large quantity of blood. Autopsy revealed a 7 mm ulcer on the internal surface of the left lower leg communicating with a varicose vein, signs of exsanguinations and liver cirrhosis. Toxicological analysis was negative.
Conclusion
Massive hemorrhage from a ruptured varicosity is a severe medical emergency. Awareness of the risk of massive hemorrhage may provoke preventive treatment to be undertaken so as terminal loss of consciousness and a subsequent unattended death to be averted.
【 授权许可】
2012 Fragkouli et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150416033516749.pdf | 716KB | download | |
Figure 2. | 109KB | Image | download |
Figure 1. | 78KB | Image | download |
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【 参考文献 】
- [1]Beaglehole R: Epidemiology of varicose veins. World J Surg 1986, 10:898-902.
- [2]Bartholomew JR, King T, Sahgal A, Vidimos AT: Varicose veins: newer, better treatments available. Cleve Clin J Med 2005, 72(4):312-328.
- [3]Beebe-Dimmer JL, Pfeifer JR, Engle JS, Schottenfeld D: The epidemiology of chronic venous insufficiency and varicose veins. Ann Epidemiol 2005, 15:175-184.
- [4]Byard RW, Gilbert JD: The incidence and characteristic features of fatal hemorrhage due to ruptured varicose veins. A 10-year autopsy study. Am J Forensic Med Pathol 2007, 28:299-302.
- [5]Hejna P: A case of fatal spontaneous varicose vein rupture – an example of incorrect first aid. J Forensic Sci 2009, 54:1146-1148.
- [6]Sauvageau A, Scellenberg M, Racette S, Julien F: Bloodstain pattern analysis in a case of fatal varicose vein rupture. Am J Forensic Med Pathol 2007, 28:35-37.
- [7]Byard RW, Veldhoen D, Manock C, Gilbert JD: Blood stain pattern interpretation in cases of fatal haemorrhage from ruptured varicose veins. J Forensic Leg Med 2007, 14:155-158.
- [8]Evans GA, Seal RME, Evans DMD, Craven JL: Spontaneous fatal haemorrhage caused by varicose veins. Lancet 1973, 1:1359-1361.
- [9]Racette S, Sauvageau A: Unusual sudden death. Two case reports of hemorrhage by varicose veins. Am J Forensic Med Pathol 2005, 26:294-296.
- [10]Cittadini F, Albertacci G, Pascali VL: Unattended fatal hemorrhage caused by spontaneous rupture of a varicose vein. Am J Forensic Med Pathol 2008, 29:92.
- [11]Morrow PL, Hardin NJ, Karn CM, Beloin R, McDowell RW: Fatal hemorrhage caused by varicose veins. Am J Forensic Med Pathol 1994, 15:100-104.
- [12]Püschel K: Plötzlicher Tod im Erwachsenenalter (Sudden death in adulthood). In Handbuch gerichtliche Medizin. Volume 1 edition. Edited by Brinkmann B, Madea B. Berlin,Heidelberg, New York: Springer; 2004:1041.
- [13]Doberentz E, Hagemeier L, Veit C, Madea B: Unattended fatal haemorrhage due to spontaneous peripheral varicose vein rupture–two case reports. Forensic Sci Int 2011, 206(1–3):e12-e16.
- [14]Nikolić S, Živković V: [Fatal exsanguination due to ruptured vericose vein of the lower leg: case report]. Srp Arh Celok Lek 2011, 139:819-823.
- [15]Ampanozi G, Preiss U, Hatch GM, Zech WD, Ketterer T, Bolliger S, Thali MJ, Ruder TD: Fatal lower extremity varicose vein rupture. Leg Med 2011, 13:87-90.