Gastromalacia (Postmortem Gastric Perforation): Two Cases Reports

Dong Ja Kim, SangHan Lee
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Abstract

eISSN 2383-5710 cCopyright 2020 by the Korean Society for Legal Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. 45 Gastric perforation is uncommonly found during autopsy. This could be caused by perforated gastric ulcers, blunt abdominal traumas, tumors, cardiopulmonary resuscitation, or gastromalacia. Gastromalacia, originally described in the 18th century by John Hunter, is a postmortem artifact caused by the autolysis of gastric tissue due to the release of endogenous enzymes [1]. It is frequently encountered in the fundic portion of the stomach near the gastroesophageal junction. Occasionally, the left leaf of the diaphragm is also perforated by a ragged fenestration, leading to the escape of gastric contents into the pleural cavity. In addition, gastromalacia may also involve the distal esophagus, leading to perforation into the left pleural cavity [2]. These may lead to radiographic findings of pneumoperitoneum or pneumothorax. Here, we present two cases of gastromalacia with a literature review. A 53-year-old woman was discovered dead in her bedroom by her husband. At the midnight before her death, she had fallen down the basement staircase of a Karaoke room in a drunken state. Subsequently, she had returned to her house and fallen sleep. Her husband stated that she was sleeping when he left for his office at 07:40 but found her dead at 20:40 when he returned home. An autopsy performed the next day revealed a right temporo-parietal subgaleal hemorrhage with Korean J Leg Med 2020;44:45-47 https://doi.org/10.7580/kjlm.2020.44.1.45
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胃软化症(死后胃穿孔)2例报告
这是一篇根据知识共享署名非商业许可(http://creativecommons.org/licenses/ by-nc/4.0)条款发布的开放获取文章,该许可允许在任何媒体上不受限制的非商业使用、分发和复制,前提是正确引用原始作品。胃穿孔在尸检中是不常见的。这可能是由胃溃疡穿孔、钝性腹部创伤、肿瘤、心肺复苏或胃软化症引起的。胃软化症最初由John Hunter在18世纪描述,是由于内源性酶的释放导致胃组织自溶而导致的死后产物[1]。它常见于胃底部,靠近胃食管交界处。偶尔,隔膜的左侧叶也被一个粗糙的开窗穿孔,导致胃内容物逸出进入胸膜腔。此外,胃软化症还可能累及食管远端,导致左侧胸膜腔穿孔[2]。这可能导致气腹或气胸的x线表现。在此,我们报告两例胃软化症并作文献回顾。一名53岁的妇女被丈夫发现死在卧室里。在她死前的午夜,她喝醉了,从一家卡拉ok房的地下室楼梯上摔了下来。随后,她回到家中睡着了。她的丈夫说,当他在07:40离开去办公室时,她正在睡觉,但当他在20:40回家时发现她已经死了。第二天进行的尸检显示右侧颞顶骨下出血,韩国J腿部医学2020;44:45-47 https://doi.org/10.7580/kjlm.2020.44.1.45
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