title: A case of postoperative hemorrhage after a hysterectomy in which a bleeding point of the left uterine artery was identified by postmortem angiography.
abstract: We report a case of fatal postoperative hemorrhage caused by failure to ligate the left uterine artery during a hysterectomy in a 42-year-old woman, as demonstrated postmortem by conventional autopsy methods and confirmed by angiography. Angiography was confirmed to be a useful adjunctive technique for postmortem diagnosis and localization of the bleeding point. In cases of suspected fatal postoperative hemorrhage, postmortem angiography may be of value to the forensic pathologist.
authors.affiliation: Department of Legal Medicine, Faculty of Medicine, Toyama Medical and Pharmaceutical University, 2630 Sugitani, Toyama-shi, 930-0194 Japan. kominato@med.gumma-u.ac.jp
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Kominato
authors.forename: Takashi
authors.initials: T
authors.lastname: Fujikura
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Hata
authors.forename: Ken-Ichi
authors.initials: K
authors.lastname: Matsui
authors.forename: Hisao
authors.initials: H
authors.lastname: Takizawa
mesh_terms: D000328:Adult; D000792:Angiography; D001158:Arteries; D005260:Female; D005554:Forensic Medicine; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D019106:Postoperative Hemorrhage / Q000209:etiology*; D014592:Uterine Hemorrhage / Q000209:etiology*; D014599:Uterus / Q000098:blood supply*