A caliber-persistent artery of the gastric wall resulting in fatal haemorrhage.
A 12-year-old girl was admitted to hospital with haematemesis. Her family suffered from histidinaemia. Due to her numerous injuries the police suspected a crime. After a short period of clinical treatment she died. Autopsy showed the left ureter to be narrowed and a consecutive abscedens pyelonephritis. Pyloric ulcer caused erosion of a caliber-persistent artery which led to death with haemorrhage. The death had nothing to do with violence. Adequate surgical treatment could have saved the patient's life.
D001158:Arteries / Q000002:abnormalities / Q000473:pathology; D002648:Child; D002649:Child Abuse / Q000331:legislation & jurisprudence; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010438:Peptic Ulcer Hemorrhage / Q000473:pathology*; D011706:Pyloric Antrum / Q000098:blood supply*; D013276:Stomach Ulcer / Q000473:pathology*