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ISSN 2472-1026

Journal of Forensic Medicine
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  • Case Series   
  • J Forensic Med 2018, Vol 3(2): 124
  • DOI: 10.4172/2472-1026.1000124

Sudden Death- Case series of Ruptured Esophageal Varices

Ishita Thakur*, Rashid Nehal Khan and Abhijit Rudra
Forensic Medicine and Toxicology, Armed Forces Medical College, pune, India
*Corresponding Author : Ishita Thakur, Forensic Medicine and Toxicology, AFMC, Pune, India, Tel: 7263077907, Email: [email protected]

Received Date: Jun 15, 2018 / Accepted Date: Sep 19, 2018 / Published Date: Sep 26, 2018

Abstract

Introduction
Sudden death due to Gastroinstestinal (GI) causes amount to 10% of all sudden death. Esophageal varices is one of the GI causes of sudden death. It develops as a complication of liver cirrhosis. The prevalence of esohgaeal varices in cirrhosis patients is 50% and mortality rate varies between 20%-35% with male female ratio of 1:9. The one year bleeding rate of small and large varices is 5% and 15%. Mortality rate increases with increased age.
Case-Series
Six case of sudden death were seen in the mortuary of a tertiary hospital. The six cases were males, alcoholics. On autopsy, similar findings of cirrhotic liver and hemorrhagic mucosa of the stomach with bleeding spots on lower one third of esophagus were observed.
Discussion
Collaterals develop with development of portal hypertension. Some sites are pre disposed to rupture like the esophageal varices. Risk factors of variceal rupture are red streaks in lumen of esophagus and deranged liver function tests. On gross examination, signs of deranged liver functions are noted. On internal examination, esophagus is everted attached to the stomach and varices are seen shine to through the mucosa. Liver had cirrhotic changes and spleen was enlarged and congested in all the six cases.
Conclusion
The case series emphasizes the importance of fatal esophageal variceal hemorrhage as an important cause of sudden death occurring outside the hospital in alcohol-addicted individuals, often in isolated scenarios.

Keywords: Esophageal varices; Cirrhosis; Liver

Citation: Thakur I, Khan RN, Rudra A (2018) Sudden Death- Case series of Ruptured Esophageal Varices. J Forensic Med 3: 124. Doi: 10.4172/2472-1026.1000124

Copyright: © 2018 Thakur I, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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