Gastromalacia (Postmortem Gastric Perforation): Two Cases Reports
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Gastromalacia refers to the postmortem acute autolytic erosion of the gastric wall. It should be distinguished from gastric perforations caused by antemortem injuries or other pathologic processes, such as ulcer perforations. It appears as a slimy brownish-black perforation of the gastric wall. The diagnosis is based on the presence of a typical macroscopic perforation in the fundic portion of the stomach, lack of vital reactions in the adjacent organs, and lack of clinical or autopsy evidence of trauma. Here, we report two cases of gastromalacia: one in a 53-year-old woman who died from severe head injury and another in a 2-year-old child who died from neglect by his father. Gastromalacia is a welldefined phenomenon, but due to its rarity in the practical work, it could be misdiagnosed as other causes of gastric perforation.
Abstract
Gastromalacia refers to the postmortem acute autolytic erosion of the gastric wall. It should be distinguished from gastric perforations caused by antemortem injuries or other pathologic processes, such as ulcer perforations. It appears as a slimy brownish-black perforation of the gastric wall. The diagnosis is based on the presence of a typical macroscopic perforation in the fundic portion of the stomach, lack of vital reactions in the adjacent organs, and lack of clinical or autopsy evidence of trauma. Here, we report two cases of gastromalacia: one in a 53-year-old woman who died from severe head injury and another in a 2-year-old child who died from neglect by his father. Gastromalacia is a welldefined phenomenon, but due to its rarity in the practical work, it could be misdiagnosed as other causes of gastric perforation.
참고문헌 (8)
- Hunter J, "On the digestion of the stomach after death", Philos Trans R Soc Lond, 62, pp.447~452
- Perper JA, "Medico-legal investigation of death: guidelines for the application of pathology to crime investigation", pp.14~49 (2006), Charles C Thomas
- Usui A, "Postmortem radiography of gastromalacia: case reports", Jpn J Radiol, 31, pp.637~641 (2013)
- De-Giorgio F, "An unusual case showing fatal rupture of a gastric ulcer or gastromalacia? The importance", role of histology for differential diagnosis, 2015, pp.60, 240~242
- Bell LG, "Gastromalacia; a review and report of one case with recovery", Ann Surg, 143, pp.106~111 (1956)
- Laczniak AN, "Postmortem gastric perforation(gastromalacia)mimicking abusive injury in sudden unexplained infant death", Pediatr Radiol, 41, pp.1595~1597 (2011)
- Tejerina Alvarez EE, "Gastric rupture from blunt abdominal trauma", Injury, 35, pp.228~231 (2004)
- Larson GM, "Gastric response to severe head injury", Am J Surg, 147, pp.97~105 (1984)