title: Fatal hemoperitoneum from traumatic gallbladder avulsion: an autopsy case report.
abstract: This report describes a rare autopsy case of death due to gallbladder injury. The victim was a 63-year-old man, with a clinical history of liver cirrhosis and alcohol abuse. The postmortem examination revealed fatal hemoperitoneum from traumatic gallbladder avulsion. Related injuries were observed in the right hypochondriac region. Normal distended gallbladder, liver cirrhosis and alcohol abuse were considered to be the predisposing factors. The gradual development of bleeding from the small vessels of the gallbladder and the liver bed may have caused extensive hemoperitoneum.
authors.affiliation: Department of Legal Medicine, Osaka City University, Graduate School of Medicine, Japan. legalmed@med.osaka-cu.ac.jp
authors.forename: Li
authors.initials: L
authors.lastname: Quan
authors.forename: Bao-Li
authors.initials: BL
authors.lastname: Zhu
authors.forename: Takaki
authors.initials: T
authors.lastname: Ishikawa
authors.forename: Shigeki
authors.initials: S
authors.lastname: Oritani
authors.forename: Dong-Ri
authors.initials: DR
authors.lastname: Li
authors.forename: Dong
authors.initials: D
authors.lastname: Zhao
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Maeda
mesh_terms: D005704:Gallbladder / Q000293:injuries* / Q000473:pathology; D006465:Hemoperitoneum / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000473:pathology