Journal of Punjab Academy of Forensic Medicine & Toxicology
SCOPUS
  • Year: 2023
  • Volume: 23
  • Issue: 2

Sudden Death Due to Oesophageal Varice Rupture: Two Case Reports in An Alcoholic and A Non-Alcoholic Individual

1Professor, Department of Forensic Medicine, St. John’s Medical College, Bangalore, Karnataka

2Professor and Head, Department of Forensic Medicine, St. John’s Medical College, Bangalore, Karnataka

*Corresponding Author: Dr. Sanjay Sukumar, Professor, Department of Forensic Medicine, St. John’s Medical College, Bangalore, Karnataka, E-mail: sanjss@yahoo.co.in, Contact : +91-99524-12573

Online Published on 10 September, 2024.

Abstract

Of the gastrointestinal causes of sudden death, upper gastrointestinal bleeding is the most common and is usually due to the rupture of oesophageal varice, which is a complication of portal hypertension associated with cirrhosis of the liver. Here, we present two cases of sudden death due to acute upper gastrointestinal bleeding diagnosed at autopsy. One was a known alcoholic suffering from liver cirrhosis. In the other case, the individual was undergoing treatment for liver cirrhosis but was non-alcoholic with a history of consuming herb medication for a long time. Here, we highlight the importance of obtaining a detailed medical history to better correlate the autopsy findings with the disease condition.

Keywords

Sudden Death, Oesophageal Varices, Bleeding, Cirrhosis, Portal Hypertension