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黑色食管:一例罕见的尸检病例。

Black esophagus: a rare autopsy case.

作者信息

Eren B, Turkmen N, Fedakar R

机构信息

Council of Forensic Medicine of Turkey, Bursa Morgue Department, Bursa, Turkey.

出版信息

Bratisl Lek Listy. 2010;111(7):414-5.

Abstract

The black esophagus is a rare entity of an acute esophageal necrosis described at endoscopy and typical histological properties of a diffuse mucosal necrosis. The presented case was a 17-year-old girl; admitted to the hospital with an abdominal distantion and vomiting, who died soon after admittance. The case was investigated by local prosecutor, as the cause of the death was unknown; a forensic autopsy was mandated and later performed in our department. During autopsy on macroscopic examination an acute esophageal necrosis with black colored esophageal mucosa was detected. In this case report, we aimed to explain the autopsy findings, clinical presentation, histological appearance, risk factors and pathogenesis of the disease from the medico legal point of view (Tab. 1, Fig. 1, Ref. 5).

摘要

黑色食管是一种罕见的急性食管坏死病变,在内镜检查中可见,具有弥漫性黏膜坏死的典型组织学特征。本文报道的病例为一名17岁女孩,因腹胀和呕吐入院,入院后不久死亡。由于死因不明,当地检察官对该病例展开调查;随后委托进行法医尸检,并在我们科室进行。尸检宏观检查发现急性食管坏死,食管黏膜呈黑色。在本病例报告中,我们旨在从法医学角度解释该疾病的尸检结果、临床表现、组织学表现、危险因素及发病机制(表1、图1、参考文献5)。

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