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Erschienen in: Forensic Science, Medicine and Pathology 3/2020

24.07.2020 | Case Report

Revisit of gastromalacia: a report of three cases and review of the literature

verfasst von: Hongmei Dong, Mingjie Qiu, Qing Gao, Xuebo Li, Liangliang Li

Erschienen in: Forensic Science, Medicine and Pathology | Ausgabe 3/2020

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Abstract

Gastromalacia, a postmortem dissolution of the stomach, is caused by endogenous enzymes resulting in thinning and softening of the stomach wall with focal perforation. Thus, identifying gastromalacia and differentiating it from other causes of gastric perforation is essential to avoid misdiagnosis. Herein, three cases of gastromalacia are described. The victims died due to hyperthermia, leukemia complicated by cerebral hemorrhage, and asphyxia due to inhaled vomitus, respectively. The macroscopic and microscopic appearance in three cases indicated gastromalacia, although multiple factors confused the diagnosis. Furthermore, the differential diagnosis and the underlying mechanism are discussed.
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Literatur
1.
Zurück zum Zitat Hunter J. On the digestion of the stomach after death. Philos Trans. 1772;62:447–52.CrossRef Hunter J. On the digestion of the stomach after death. Philos Trans. 1772;62:447–52.CrossRef
2.
Zurück zum Zitat Bolster F, Ali Z, Daly B. Postmortem gastromalacia. J Forensic Radiol Imaging. 2016;5:70.CrossRef Bolster F, Ali Z, Daly B. Postmortem gastromalacia. J Forensic Radiol Imaging. 2016;5:70.CrossRef
3.
Zurück zum Zitat Usui A, Kawasumi Y, Hosokai Y, Hayashizaki Y, Saito H, Funayama M. Postmortem radiography of gastromalacia: case reports. Jpn J Radiol. 2013;31:637–41.CrossRef Usui A, Kawasumi Y, Hosokai Y, Hayashizaki Y, Saito H, Funayama M. Postmortem radiography of gastromalacia: case reports. Jpn J Radiol. 2013;31:637–41.CrossRef
4.
Zurück zum Zitat Dalgaard JB. Intracranial infections causing esophagomalacia and gastromalacia: a postmortem study of eleven cases. Gastroenterology. 1959;37:28–34.CrossRef Dalgaard JB. Intracranial infections causing esophagomalacia and gastromalacia: a postmortem study of eleven cases. Gastroenterology. 1959;37:28–34.CrossRef
5.
Zurück zum Zitat O'Donnell CJ, Baker MA. Postmortem CT findings of gastromalacia: a trap for the radiologist with forensic interest. Forensic Sci Med Pathol. 2010;6:293–7.CrossRef O'Donnell CJ, Baker MA. Postmortem CT findings of gastromalacia: a trap for the radiologist with forensic interest. Forensic Sci Med Pathol. 2010;6:293–7.CrossRef
6.
Zurück zum Zitat Laczniak AN, Sato Y, Nashelsky M. Postmortem gastric perforation (gastromalacia) mimicking abusive injury in sudden unexplained infant death. Pediatr Radiol. 2011;41:1595–7.CrossRef Laczniak AN, Sato Y, Nashelsky M. Postmortem gastric perforation (gastromalacia) mimicking abusive injury in sudden unexplained infant death. Pediatr Radiol. 2011;41:1595–7.CrossRef
7.
Zurück zum Zitat Mousa AM, El-Sammad NM, Hassan SK, Madboli A, Hashim AN, Moustafa ES, et al. Antiulcerogenic effect of Cuphea ignea extract against ethanol-induced gastric ulcer in rats. BMC Complement Altern Med. 2019;19:345.CrossRef Mousa AM, El-Sammad NM, Hassan SK, Madboli A, Hashim AN, Moustafa ES, et al. Antiulcerogenic effect of Cuphea ignea extract against ethanol-induced gastric ulcer in rats. BMC Complement Altern Med. 2019;19:345.CrossRef
8.
Zurück zum Zitat Alain BB, Wang YJ. Cushing's ulcer in traumatic brain injury. Chin J Traumatol. 2008;11:114–9.CrossRef Alain BB, Wang YJ. Cushing's ulcer in traumatic brain injury. Chin J Traumatol. 2008;11:114–9.CrossRef
9.
Zurück zum Zitat Swisher RW, Mueller JM, Halloran G. Basophilic leukemia presenting as gastroduodenal ulceration: effect of H-2-receptor blockade. Am J Dig Dis. 1978;23:952–5.CrossRef Swisher RW, Mueller JM, Halloran G. Basophilic leukemia presenting as gastroduodenal ulceration: effect of H-2-receptor blockade. Am J Dig Dis. 1978;23:952–5.CrossRef
10.
Zurück zum Zitat Danel T, Libersa C, Touitou Y. The effect of alcohol consumption on the circadian control of human core body temperature is time dependent. Am J Physiol Regul Integr Comp Physiol. 2001;281:R52–5.CrossRef Danel T, Libersa C, Touitou Y. The effect of alcohol consumption on the circadian control of human core body temperature is time dependent. Am J Physiol Regul Integr Comp Physiol. 2001;281:R52–5.CrossRef
Metadaten
Titel
Revisit of gastromalacia: a report of three cases and review of the literature
verfasst von
Hongmei Dong
Mingjie Qiu
Qing Gao
Xuebo Li
Liangliang Li
Publikationsdatum
24.07.2020
Verlag
Springer US
Erschienen in
Forensic Science, Medicine and Pathology / Ausgabe 3/2020
Print ISSN: 1547-769X
Elektronische ISSN: 1556-2891
DOI
https://doi.org/10.1007/s12024-020-00274-9

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