title: Neoplastic spread after trauma: natural death or manslaughter?
abstract: We report an unusual death of a seemingly healthy 26-year-old man due to diffuse metastasization of adrenal paraganglioma caused by rupture of the primitive tumour with subsequent massive haemorrhage after a relatively minor trauma. Our report describes the results of forensic investigation and discusses the possible mechanisms of metastasization.
authors.affiliation: Institute of Legal Medicine, Catholic University of the Sacred Heart, Medical School, Largo F. Vito 1, Roma 00168, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Ausania
authors.forename: Fabio
authors.initials: F
authors.lastname: De-Giorgio
authors.forename: Luca
authors.initials: L
authors.lastname: Valerio
authors.forename: Arnaldo
authors.initials: A
authors.lastname: Capelli
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Arena
mesh_terms: D000059:Accidents / Q000331:legislation & jurisprudence*; D000310:Adrenal Gland Neoplasms / Q000473:pathology*; D000328:Adult; D004617:Embolism / Q000473:pathology; D049429:Forensic Pathology; D006801:Humans; D008297:Male; D010235:Paraganglioma / Q000473:pathology*; D012421:Rupture / Q000209:etiology / Q000473:pathology; D014754:Violence; D014949:Wounds, Nonpenetrating / Q000150:complications*