title: Severe acute hemorrhagic pancreatitis secondary to cholelithiasis as a rare cause of sudden unexpected death in medico-legal case: A case report.
abstract: BACKGROUND
  Acute pancreatitis (AP) is an uncommon disease with a wide clinical course varying from mild and self-limiting to severe with eventual death. However, death caused by AP is rare. Most cases of AP reported in the English-language literature are based on clinical data; few are medico-legal studies.
  
  
  METHODS
  The author recently experienced a case of sudden unexpected death in a young man caused by extensive severe hemorrhagic AP secondary to cholelithiasis, not chronic alcoholism, which is a much more prominent etiology of AP in medico-legal perspectives. The deceased had complained of dizziness, nausea, and fatigue without significant abdominal pain for about 1 week and received some home medications for symptomatic treatment including an antibiotic drug from a clinic just 2 days prior to his death. He had complained of lower extremity weakness, intense thirst, and subsequently collapsed and was brought to a nearby hospital where he was pronounced dead shortly after his admission following unsuccessful advanced cardiopulmonary resuscitation attempts.
  
  
  CONCLUSIONS
  This case is herein reported with an extensive review of the pertinent literature to highlight the findings of the case and raise awareness within the medico-legal profession and also the medical profession.
authors: Department of Forensic Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
authors: Supawon
authors: S
authors: Srettabunjong
authors: Wiratchaya
authors: W
authors: Limgitisupasin
mesh_terms: D000328:Adult; D001344:Autopsy; D002769:Cholelithiasis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D003645:Death, Sudden / Q000209:etiology*; D017809:Fatal Outcome; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D012720:Severity of Illness Index