Fatal hepatic haemorrhage in a child-peliosis hepatis versus maltreatment

International Journal of Legal Medicine
B KargerG Fechner

Abstract

A 2.5-year-old boy with known myotubular myopathy (Spiro-Shy-Gonatas syndrome) and gonadorelin intake 9 months ante-mortem was found dead in his bed at home. At autopsy a ruptured subcapsular haematoma of the liver with resulting haemoperitoneum (600 ml) was found. Both lobes of the liver showed numerous circular blood foci <1 mm-2 cm in diameter. Signs of mechanical trauma such as bruising of the abdominal wall were absent. Histologically, the blood cysts were commonly connected to the sinusoids but did not have an endothelial lining and the reticular fibres showed ruptures. These pathomorphological findings are characteristic for peliosis hepatis and the cause of death was therefore determined to be exsanguination due to hepatic haemorrhage from peliosis hepatis instead of from mechanical trauma. To our knowledge this is the youngest casualty from peliosis reported so far.

References

Feb 1, 1978·American Journal of Diseases of Children·D R Benjamin, B Shunk
Jan 1, 1992·AJR. American Journal of Roentgenology·C K MavesR Agarwal
Jan 1, 1991·AJR. American Journal of Roentgenology·D R Radin, G C Kanel
Jan 1, 1984·Virchows Archiv. A, Pathological Anatomy and Histopathology·A DejgaardM Jacobsen
Sep 1, 1995·AJR. American Journal of Roentgenology·P K KleinmanB D Blackbourne
Feb 5, 1999·The Journal of Pediatrics·G E HermanA Metzenberg
Aug 31, 2001·Journal of Pediatric Surgery·S Y WangM A Borge
Feb 25, 2003·International Journal of Legal Medicine·G FechnerB Brinkmann
Apr 12, 2003·International Journal of Legal Medicine·H KlotzbachK Püschel
Jun 27, 2003·International Journal of Legal Medicine·T BajanowskiB Brinkmann

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Citations

May 16, 2013·World Journal of Gastroenterology : WJG·Wei PanChang-Yue Zheng
Jul 14, 2005·International Journal of Legal Medicine·L MartrilleE Baccino
Feb 3, 2007·International Journal of Legal Medicine·Elisabeth E TürkMichael Tsokos
Feb 12, 2009·International Journal of Legal Medicine·Roger W Byard, Karen Heath
Mar 21, 2016·Pediatric Neurology·Osorio Abath NetoEdmar Zanoteli
Sep 10, 2013·Neuromuscular Disorders : NMD·T MotokiI Nishino
Nov 23, 2011·The American Journal of Forensic Medicine and Pathology·Ben BuelowRichard C Harruff
Jun 15, 2021·Neuromuscular Disorders : NMD·Jeremy M NeeseAlicia M Alcamo

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