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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.

PMID:20806550
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)。

相似文献

1
Black esophagus: a rare autopsy case.黑色食管:一例罕见的尸检病例。
Bratisl Lek Listy. 2010;111(7):414-5.
2
Sudden death due to black esophagus: a case report.黑色食管导致的猝死:一例病例报告。
Am J Forensic Med Pathol. 2013 Mar;34(1):16-7. doi: 10.1097/PAF.0b013e3182717b98.
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Sudden death of an alcoholic elderly man with acute esophageal necrosis (black esophagus).酗酒老年男性突发急性食管坏死(黑食管)死亡。
Forensic Sci Int. 2011 Oct 10;212(1-3):e15-7. doi: 10.1016/j.forsciint.2011.05.024.
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[Black esophagus--case report].[黑色食管——病例报告]
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Acute esophageal necrosis associated with alcoholic hepatitis: is it black or is it white?与酒精性肝炎相关的急性食管坏死:它是黑色还是白色?
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[A case of acute esophageal necrosis with gastric outlet obstruction].[一例伴有胃出口梗阻的急性食管坏死病例]
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[Black esophagus].[黑色食管]
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Acute (gangrenous) esophageal necrosis (black esophagus). A rare form of injury with specific histologic features and diverse clinical associations with a common pathogenesis.急性(坏疽性)食管坏死(黑食管)。一种罕见的损伤形式,具有特定的组织学特征和多种与共同发病机制相关的临床关联。
Hum Pathol. 2019 May;87:44-50. doi: 10.1016/j.humpath.2019.02.003. Epub 2019 Feb 28.
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Analysis of the pathogenesis of acute necrotizing esophagitis (black esophagus): A report of three autopsy cases.分析急性坏死性食管炎(黑食管)的发病机制:三例尸检报告。
J Forensic Leg Med. 2023 May;96:102515. doi: 10.1016/j.jflm.2023.102515. Epub 2023 Mar 26.

引用本文的文献

1
Acute Esophageal Necrosis: A View in the Dark.急性食管坏死:黑暗中的视角
Case Rep Gastroenterol. 2019 Jan 16;13(1):25-31. doi: 10.1159/000496385. eCollection 2019 Jan-Apr.
2
Comprehensive review of acute oesophageal necrosis.急性食管坏死的综合综述
BMJ Case Rep. 2019 Feb 26;12(2):e227967. doi: 10.1136/bcr-2018-227967.