A sudden death from the rupture of a small intestine firstly suspected of acute pancreatitis.
A 51-year-old drunken male was carried to a hospital with acute abdominal pain and was suspected of acute pancreatitis. The patient was treated with fasting, electrolyte transfusion, and anodyne, but took a sudden turn for the worse and died in 16 hours. In the judicial autopsy, rupture of a small intestine was detected. As the police investigated, he had been kicked in the abdomen by an assailant before coming to the hospital. The cause of death was diagnosed to be acute peritonitis due to the rupture of a small intestine. Several problems were pointed out on medical examinations and treatments of this case.
Zhou
H
H
Department of Legal Medicine, Tokyo Ika Shika University School of Medicine.
Sato
K
K
Katsumata
S
S
Kamata
S
S
Yonemura
I
I
Terada
T
T
Hasekura
H
H
D000208:Acute Disease; D001344:Autopsy; D003645:Death, Sudden / Q000209:etiology*; D003937:Diagnosis, Differential; D006703:Ill-Housed Persons; D006801:Humans; D007421:Intestine, Small / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D019512:Pancreatitis, Alcoholic / Q000175:diagnosis; D010538:Peritonitis / Q000209:etiology; D012421:Rupture