A lithopedion is a rare complication of pregnancy that occurs when a fetus in an intraabdominal location dies, and it is too large to be reabsorbed by the body. The case was an 87-year-old woman, and she was transferred to the morgue department in April 2014 to determine the cause of death. During autopsy, an intraabdominally located calcified dead fetus and a 12-cm diameter calcified cyst in the right ovary were incidentally detected. It was aged 25 to 29 weeks (according to femur and humerus measurements) with a size of 12.5 × 8 × 5 cm and a weight of 227 g. According to investigation reports, her husband died in 1990, and she had 3 deliveries, the most recent of which was in 1946. Because the menopause age of the case was not exactly known, the retention time of the lithopedion was supposed to be 24 to 68 years according to the date of the most recent pregnancy and the date of her spouse's death. It is the first case that has been incidentally detected and identified during an autopsy in Turkey and also one of the oldest cases in the literature.
ÖZETMezenter ven trombozu nadir gör ülen fakat mortalitesi yüksek olan bir hastalıktır. Klinik belirtilerinin semptomsuz olması nedeniyle tanı koymak güçtür. Tanı çoğunlukla laparotomi veya otopsi ile konur. Mezenter ven trombozu etiyolojisinde birçok faktör sayılmaktadır. Olgumuzda otopsi ve histopatolojik inceleme ile tespit ettiğimiz karaciğer sirozu ve kronik piyelonefrit bu nedenler arasında sayılmaktadır. Bu çalışmada, V. lienalis, V. pankreatika ve süperior mezenterik ven dallarınına kadar uzanan portal ven trombozuna bağlı tama yakın ince bağırsak nekrozu gelişmiş olan olgu sunuldu.Anahtar sözcükler: Karaciğer sirozu; mezenter ven trombozu; otopsi.
Lower respiratory infections are commonly due to viruses and are the third largest cause of death. Respiratory tract viruses have a tendency to target the specific regions in the lung and can harm the host via direct effect of the virus and the host's inflammatory response. In this study, relationships between morphologic changes in the lung and the viral agent type isolated in the lung by the polymerase chain reaction technique were investigated. This study was performed retrospectively at 113 autopsy cases in the Council of Forensic Medicine in Istanbul. Slides from the lung tissues diagnosed as interstitial pneumonia and detected viral agent in polymerase chain reaction were evaluated and reviewed under light microscope by 2 pathologists simultaneously according to predetermined bronchiolar, alveolar, and interstitial findings. Alveolar findings were detected in 108 cases (95.6%), whereas interstitial and bronchiolar findings were detected in 91 (80.5%) and 38 (33.6%) cases, respectively. Intra-alveolar edema was the most common alveolar finding. Some findings such as multinucleated syncytial cells and smudge cells can aid the search for etiologic agent. Interstitial inflammation was the most common histopathologic finding in the lung in viral infections and the most prominent clue to viral infections in the lung histopathologically without discrimination of viral agent type.
Key words: aortic aneurysm, aortoesophageal fistula, autopsyŞam B, Akkaya H, Şahin F, Akçay A, Özdemirel R, İlingi U Sam B, Akkaya H, Sahin F, Akcay A, Ozdemirel R, Ilingi U. Death due to bleeding of primary aortoesophageal fistula secondary to thoracic aneurysm: a case report.
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