Sudden death due to ruptured pseudoaneurysm of femoral artery in injected drug abusers - report of four cases at autopsy and review of literature.
Pseudoaneurysm in injected drug abusers occurs due to traumatic damage by the repeated injections and infections. It most commonly involves the femoral artery that requires intensive management. When medical attention is delayed, the victim is prone to have massive bleeding from the ruptured artery, resulting in death. Although pseudoaneurysms in injected drug abusers are known, there is paucity of autopsy study on sudden deaths due to its rupture. We report four such cases with different presentations of the pseudoaneurysm that had ruptured spontaneously. The paper highlights the case history and autopsy findings of these cases with review of literature of this catastrophic event in injected drug abusers.
Department of Forensic Medicine, All India Institute of Medical Sciences, New Delhi 110029, India. Electronic address: drchitta75@rediffmail.com.
C
C
Behera
Department of Forensic Medicine, Maulana Azad Medical College, New Delhi, India.
Sunil
S
Naagar
Department of Forensic Medicine, All India Institute of Medical Sciences, New Delhi 110029, India.
Karthik
K
Krishna
Department of Histopathology, Chesterfield Royal Hospital NHS Foundation Trust, Calow, Chesterfield S44 5BL, United Kingdom.
Danesh R
DR
Taraporewalla
Department of Forensic Medicine, Maulana Azad Medical College, New Delhi, India.
G V
GV
Garudadhri
Department of Forensic Medicine, Maulana Azad Medical College, New Delhi, India.
Kulbhushan
K
Prasad
D000328:Adult; D017541:Aneurysm, False / Q000473:pathology*; D003645:Death, Sudden / Q000209:etiology*; D005263:Femoral Artery / Q000293:injuries / Q000473:pathology*; D006406:Hematoma / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012421:Rupture / Q000473:pathology; D012771:Shock, Hemorrhagic / Q000209:etiology; D015819:Substance Abuse, Intravenous / Q000150:complications*
Femoral artery; Injected drug abuse; Pseudoaneurysm; Sudden death