Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/76046
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Fatal ischemic enteritis with hemorrhage - A late complication of treated Wilms tumor |
Author: | Gilbert, J. Byard, R. |
Citation: | Journal of Forensic Sciences, 2013; 58(1):234-236 |
Publisher: | Amer Soc Testing Materials |
Issue Date: | 2013 |
ISSN: | 0022-1198 1556-4029 |
Statement of Responsibility: | John D. Gilbert and Roger W. Byard |
Abstract: | A 35-year-old man with a history of childhood Wilms tumor successfully treated with radiotherapy, chemotherapy, and surgery, collapsed and died unexpectedly in hospital following admission for abdominal pain. At autopsy, there was ischemic necrosis of the small intestine with altered blood within the stomach and small intestine. Within the upper abdominal aorta, there was patchy confluent calcific atherosclerosis with extension into the proximal superior mesenteric artery which was occluded by thrombus. Death was attributed to ischemic enteritis of the small intestine caused by mesenteric artery thrombosis complicated by gastrointestinal hemorrhage with aspiration. Localization of atherosclerosis to the radiation field with no significant atherosclerosis elsewhere and the young age of the decedent were supportive of radiation-induced atherogenesis. Geographically, localized atherosclerosis at autopsy in a tumor survivor should raise the possibility of a treatment-related side effect that may directly contribute to death many years after the original therapeutic intervention. |
Keywords: | Forensic science accelerated atherogenesis atherosclerosis mesenteric thrombosis ischemic enteritis Wilms tumor complication |
Rights: | © 2012 American Academy of Forensic Sciences |
DOI: | 10.1111/j.1556-4029.2012.02264.x |
Published version: | http://dx.doi.org/10.1111/j.1556-4029.2012.02264.x |
Appears in Collections: | Aurora harvest Pathology publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.