A fatal case of hypovolemic shock after cesarean section.
We report a fatal case of hypovolemic shock caused by uncontrollable hemorrhaging after emergency cesarean section. In this patient, the incision in the uterus was located only 1 cm from the cervical os. We suspect that this close incision was the cause of the damage to the uterine venous plexus and the bleeding. We discuss the cause of death and offer advice on performing autopsies in patients who have died of bleeding after cesarean section.
Yajima
Daisuke
D
Department of Legal Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan. yajima.d@restaff.chiba-u.jp
Motani
Hisako
H
Hayakawa
Mutsumi
M
Sato
Yayoi
Y
Iwase
Hirotaro
H
D000328:Adult; D016063:Blood Loss, Surgical; D002585:Cesarean Section / Q000009:adverse effects*; D004630:Emergencies; D017809:Fatal Outcome; D005260:Female; D049429:Forensic Pathology; D006801:Humans; D010529:Peritoneal Cavity / Q000473:pathology; D011247:Pregnancy; D012769:Shock / Q000209:etiology*; D014599:Uterus / Q000098:blood supply / Q000473:pathology