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Fatal intra-abdominal hemorrhage as a result of avulsion of the gallbladder: A postmortem case report
oleh: Akihito Usui, Yusuke Kawasumi, Yoshiyuki Hosokai, Haruo Saito, Yui Igari, Masato Funayama
Format: | Article |
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Diterbitkan: | SAGE Publishing 2013-03-01 |
Deskripsi
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.