title: [Traumatic splenic rupture--fatal increase in thrombocytes after splenectomy].
abstract: A patient with CMGM developed after traumatic splenectomy a severe thrombocytosis up to 4 millions. 25 days after the accident he died of acute right heart failure caused by vascular occlusion of lung vessels due to thrombocyte aggregations. According to the regulations of professional cooperatives in Germany the death is caused by the occupational accident. A bereaved pension will be payed. For the private life insurance the blood disease is with 33% partial responsible for the fatal development and reduces the payment. According to german penal law the death of the victim will tighten the punishment, if someone else is guilty for the accident. A professional error on the part of a doctor is not provable.
authors.affiliation: Gerichtsärztlichen Dienst, Behörde für Arbeit, Gesundheit und Soziales, Hamburg.
authors.forename: F
authors.initials: F
authors.lastname: Schulz
authors.forename: K
authors.initials: K
authors.lastname: Lieske
mesh_terms: D000062:Accidents, Occupational / Q000331:legislation & jurisprudence*; D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000473:pathology*; D011655:Pulmonary Embolism / Q000473:pathology; D013154:Spleen / Q000473:pathology; D013156:Splenectomy; D013161:Splenic Rupture / Q000473:pathology / Q000601:surgery*; D013922:Thrombocytosis / Q000473:pathology*; D014942:Workers' Compensation / Q000331:legislation & jurisprudence*