Indian Journal of Forensic Medicine & Toxicology
  • Year: 2017
  • Volume: 11
  • Issue: 1

A Judical Autopsy Case of a Craniopharyngioma Patient Who Experienced Three Times Local Recurrences and Died on the Forth Postoperative Days

1Associate Professor, Department of Human Anatomy & Pathology, School of Nursing, Japan University of Health Sciences, Satte-City, Saitama Prefecture

2Professor, Department of Human Anatomy & Pathology, School of Nursing, Japan University of Health Sciences, Satte-City, Saitama Prefecture

*Corresponding author: Dr. Nagahisa Matsuyama, Ph. D., Japan University of Health Sciences, Satte 1961-2, Satte-City, Saitama Prefecture, 340–0113 Japan, Ph: +81-480-40-4848, Fax: +81-480-40-4860 Email: n-matsuyama@jhsu.ac.jp

Online published on 2 January, 2017.

Abstract

In this case, a 70-year-old male craniopharyngioma patient experienced three times to local recurrences. On the forth postoperative days after the fourth surgery, the patient died of acute renal failure and decreased blood pressure. The judicial autopsy, conducted 15 hours later, found multiple small bleeding ulcers in the gaster, and a large amount of blood had filled in the gaster and small intestine. The cause of death was considered to be respiratory failure due to congestive edema seen in the lungs, and hemorrhagic shock due to multiple gastric ulcers (Cushing ulcer).

Keywords

Craniopharyngioma, Local recurrence, Postoperation, Judicial autopsy, Pulmonary edema, Multiple gastric ulcers (Cushing ulcer)