title: Fatal intra-abdominal hemorrhage as a result of avulsion of the gallbladder: a postmortem case report.
abstract: Gallbladder injuries are extremely rare in blunt trauma, with a reported incidence of <2%. We report an autopsy case of fatal hemorrhagic shock due to intra-abdominal bleeding resulting from complete avulsion of the gallbladder associated with liver cirrhosis. Multiplanar images derived from multislice computed tomography (MSCT) performed as part of pre-autopsy screening showed complete avulsion of the gallbladder without any other associated intra-abdominal injuries, facilitating forensic autopsy planning. In this report, we discuss the role of MSCT in cases of fatal intra-abdominal bleeding caused by avulsion of the gallbladder and discuss the mechanism of this injury.
authors.affiliation: Department of Diagnostic Image Analysis.
authors.forename: Akihito
authors.initials: A
authors.lastname: Usui
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Kawasumi
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Hosokai
authors.forename: Haruo
authors.initials: H
authors.lastname: Saito
authors.forename: Yui
authors.initials: Y
authors.lastname: Igari
authors.forename: Masato
authors.initials: M
authors.lastname: Funayama
keywords: Multislice computed tomography; avulsion; forensic autopsy; gallbladder injury; postmortem diagnosis