Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Legal Medicine, University of Padua, Padua, Italy.
Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Legal Medicine, University of Padua, Padua, Italy.
Forensic Sci Int. 2021 Nov;328:111039. doi: 10.1016/j.forsciint.2021.111039. Epub 2021 Sep 29.
Varicose veins are a common and benign disease, especially affecting the lower limbs of the elderly. This pathology can exhibit several complications, which in the majority of cases do not require medical treatment; life-threatening conditions are possible but extremely rare. We present here a suspected murder case in which a woman was found dead in her home with a large amount of blood soiling the floor and the furniture of her house. Death scene investigation (DSI) with body inspection and bloodstain pattern analysis (BPA) were not exhaustive in excluding a homicide, and the prosecutor asked for a forensic autopsy. During the dissection, a uterine neoplasia, which altered the lower limb venous system, was detected, thus allowing to reconstruct the physio-pathological mechanism of the formation and rupture of the varicose vein.
静脉曲张是一种常见的良性疾病，尤其影响老年人的下肢。这种病理可能会出现几种并发症，其中大多数情况下不需要治疗；虽然可能会出现危及生命的情况，但极为罕见。我们在此介绍一起疑似谋杀案，一名妇女被发现死在自己家中，大量血液弄脏了地板和屋内的家具。现场勘查（DSI）和血迹形态分析（BPA）并未充分排除他杀的可能性，检察官要求进行法医解剖。在解剖过程中，发现了一种子宫肿瘤，改变了下肢静脉系统，从而能够重建静脉曲张形成和破裂的生理病理机制。
