Rupture of liver cell adenoma with fatal massive hemoperitoneum resulting from minor road accident.
Blunt abdominal trauma can cause rapid death resulting from serious injuries of internal organs. The liver is commonly involved and may show tearing, usually in its upper surface, resulting in hemoperitoneum eventually leading to death. Minor trauma implies serious liver damage only when previous pathologic changes causing enlargement of the organ are present. The case of a 25-year-old woman who died as a consequence of a minor road accident is reported. At autopsy, the body showed no external injuries, the only relevant finding being a massive hemoperitoneum from the rupture of an unusually large liver cell adenoma. Liver cell adenomas carry a serious risk of spontaneous rupture, which may result in the death of the patient. The occurrence of the rupture after a minor blunt abdominal trauma is highly unusual.
Suárez-Peñaranda
J M
JM
Institute of Legal Medicine, University of Santiago de Compostela. apimljsp@usc.es
de la Calle
M C
MC
Rodrìguez-Calvo
M S
MS
Muñoz
J I
JI
Concheiro
L
L
D000063:Accidents, Traffic; D018248:Adenoma, Liver Cell / Q000150:complications / Q000473:pathology*; D000328:Adult; D001344:Autopsy; D005260:Female; D006465:Hemoperitoneum / Q000209:etiology / Q000473:pathology*; D006801:Humans; D008099:Liver / Q000293:injuries*; D008113:Liver Neoplasms / Q000150:complications / Q000473:pathology*; D012421:Rupture; D014949:Wounds, Nonpenetrating / Q000150:complications*