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- W2072823504 abstract "Gastric dissecting aneurysm is a very rare lesion with a potential risk of fatal rupture. Differentiating this from a traumatic lesion may be important in forensic casework. We report an autopsy case of sudden death due to a clinically overlooked spontaneous rupture of gastric dissecting aneurysm. A 91-year-old Japanese male visited a hospital with complaints of back pain and general fatigue, and then died at his home about 4 h later. Postmortem examination revealed massive hemoperitoneum and a subserosal hematoma originating from a vascular lesion at the lesser gastric curvature with a serosal tear. The histological findings were compatible with segmental arterial mediolysis (SAM). The pathological findings and clinical course suggested the possible 'double-rupture phenomenon' (delayed fatal rupture). This case suggested the importance of careful investigation such a vascular lesion in medico-legal practice, not only to differentiate from traumatic injury but also to investigate the process of dying." @default.
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- W2072823504 date "2004-10-01" @default.
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- W2072823504 title "Unexpected sudden death due to a spontaneous rupture of a gastric dissecting aneurysm: an autopsy case suggesting the importance of the double-rupture phenomenon" @default.
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- W2072823504 doi "https://doi.org/10.1016/j.jcfm.2004.04.010" @default.
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