Fatal intra-abdominal hemorrhage as a result of avulsion of the gallbladder: A postmortem case report

Fatal intra-abdominal hemorrhage as a result of avulsion of the gallbladder: A postmortem case report

Gallbladder injuries are extremely rare in blunt trauma, with a reported incidence of <2%. We report an autopsy case of fatal hemorrhagic shock due to intra-abdominal bleeding resulting from complete avulsion of the gallbladder associated with liver cirrhosis. Multiplanar images derived from mult...

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Main Authors: Akihito Usui, Yusuke Kawasumi, Yoshiyuki Hosokai, Haruo Saito, Yui Igari, Masato Funayama
Format: Article
Language:English
Published: SAGE Publishing 2013-03-01
Series:Acta Radiologica Open
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spelling doaj-ff821f812356435ea2cefcbd76dbe9332020-11-25T03:24:48ZengSAGE PublishingActa Radiologica Open2058-46012058-46012013-03-01221310.1177/204798161348289810.1177_2047981613482898Fatal intra-abdominal hemorrhage as a result of avulsion of the gallbladder: A postmortem case reportAkihito UsuiYusuke KawasumiYoshiyuki HosokaiHaruo SaitoYui IgariMasato FunayamaGallbladder injuries are extremely rare in blunt trauma, with a reported incidence of <2%. We report an autopsy case of fatal hemorrhagic shock due to intra-abdominal bleeding resulting from complete avulsion of the gallbladder associated with liver cirrhosis. Multiplanar images derived from multislice computed tomography (MSCT) performed as part of pre-autopsy screening showed complete avulsion of the gallbladder without any other associated intra-abdominal injuries, facilitating forensic autopsy planning. In this report, we discuss the role of MSCT in cases of fatal intra-abdominal bleeding caused by avulsion of the gallbladder and discuss the mechanism of this injury.
collection DOAJ
language English
format Article
sources DOAJ
author Akihito Usui
Yusuke Kawasumi
Yoshiyuki Hosokai
Haruo Saito
Yui Igari
Masato Funayama
spellingShingle Akihito Usui
Yusuke Kawasumi
Yoshiyuki Hosokai
Haruo Saito
Yui Igari
Masato Funayama
Fatal intra-abdominal hemorrhage as a result of avulsion of the gallbladder: A postmortem case report
Acta Radiologica Open
author_facet Akihito Usui
Yusuke Kawasumi
Yoshiyuki Hosokai
Haruo Saito
Yui Igari
Masato Funayama
author_sort Akihito Usui
title Fatal intra-abdominal hemorrhage as a result of avulsion of the gallbladder: A postmortem case report
title_short Fatal intra-abdominal hemorrhage as a result of avulsion of the gallbladder: A postmortem case report
title_full Fatal intra-abdominal hemorrhage as a result of avulsion of the gallbladder: A postmortem case report
title_fullStr Fatal intra-abdominal hemorrhage as a result of avulsion of the gallbladder: A postmortem case report
title_full_unstemmed Fatal intra-abdominal hemorrhage as a result of avulsion of the gallbladder: A postmortem case report
title_sort fatal intra-abdominal hemorrhage as a result of avulsion of the gallbladder: a postmortem case report
publisher SAGE Publishing
series Acta Radiologica Open
issn 2058-4601
2058-4601
publishDate 2013-03-01
description Gallbladder injuries are extremely rare in blunt trauma, with a reported incidence of <2%. We report an autopsy case of fatal hemorrhagic shock due to intra-abdominal bleeding resulting from complete avulsion of the gallbladder associated with liver cirrhosis. Multiplanar images derived from multislice computed tomography (MSCT) performed as part of pre-autopsy screening showed complete avulsion of the gallbladder without any other associated intra-abdominal injuries, facilitating forensic autopsy planning. In this report, we discuss the role of MSCT in cases of fatal intra-abdominal bleeding caused by avulsion of the gallbladder and discuss the mechanism of this injury.
work_keys_str_mv AT akihitousui fatalintraabdominalhemorrhageasaresultofavulsionofthegallbladderapostmortemcasereport
AT yusukekawasumi fatalintraabdominalhemorrhageasaresultofavulsionofthegallbladderapostmortemcasereport
AT yoshiyukihosokai fatalintraabdominalhemorrhageasaresultofavulsionofthegallbladderapostmortemcasereport
AT haruosaito fatalintraabdominalhemorrhageasaresultofavulsionofthegallbladderapostmortemcasereport
AT yuiigari fatalintraabdominalhemorrhageasaresultofavulsionofthegallbladderapostmortemcasereport
AT masatofunayama fatalintraabdominalhemorrhageasaresultofavulsionofthegallbladderapostmortemcasereport
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