Journal of Punjab Academy of Forensic Medicine & Toxicology
SCOPUS
  • Year: 2022
  • Volume: 22
  • Issue: 2

Esophageal Variceal Bleed in Cirrhotic Liver: An Autopsy Case Report

  • Author:
  • Moirangthem Sangita1, Chirantan Saha2,*, Jai Kumar Chourasia3, Arneet Arora4, Abhay Singh Raghav5, Vivek Kumar Chouskey6
  • Total Page Count: 3
  • Published Online: Jul 28, 2023
  • Page Number: 170 to 172

1Senior Resident, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Bhopal, India

2Academic Junior Resident, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Bhopal, India

3Associate Professor, Department of Pathology & Lab Medicine, All India Institute of Medical Sciences, Bhopal, India

4Professor & Head, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Bhopal, India

5Non-Academic Junior Resident, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Bhopal, India

6Assistant Professor, Department of Forensic Medicine, Atal Vihari Vajpayee Government Medical College, Vidisha, MP

*Corresponding Author : Dr. Chirantan Saha, Academic JR, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Bhopal, Phone : +91-9748744674, E-mail: sahachiratan2012@gmail.com

Online Published on 28 July, 2023.

Abstract

Upper gastrointestinal hemorrhage is one of the most common causes of sudden death among the gastrointestinal causes. Varices can burst and bleed, resulting in sudden death. The majority of gastrointestinal varices are due to portal hypertension caused by liver cirrhosis which mostly occurs among the alcoholics. Variceal hemorrhage is a substantial cause of morbidity and mortality. The role of forensic pathologist is of prime importance in dealing with sudden death. Here we report a case of 53 years old obese, alcoholic male who was found in an unconscious state at his home and whose cause of death was reported as death due to rupture of oesophageal varices, which was later confirmed on histopathological examination. We further discuss the histopathological findings in this case. Correlation of autopsy findings with histopathological examination is very important to confirm and also to understand the pathophysiology of such cases. In medicolegal cases, histopathology of such lesion adds future evidence in confirming and resolving the cause of death

Keywords

Sudden Death, Esophageal Varices, Haemorrhage, Histopathological Examination