A case of postoperative hemorrhage after a hysterectomy in which a bleeding point of the left uterine artery was identified by postmortem angiography

We report a case of fatal postoperative hemorrhage caused by failure to ligate the left uterine artery during a hysterectomy in a 42-year-old woman, as demonstrated postmortem by conventional autopsy methods and confirmed by angiography. Angiography was confirmed to be a useful adjunctive technique...

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Bibliographic Details
Published in:Legal medicine (Tokyo, Japan) Japan), 2004-07, Vol.6 (3), p.187-189
Main Authors: Kominato, Yoshihiko, Fujikura, Takashi, Hata, Yukiko, Matsui, Ken-ichi, Takizawa, Hisao
Format: Article
Language:English
Subjects:
Adult
Angiography
Arteries
Female
Forensic Medicine
Humans
Hysterectomy
Hysterectomy - adverse effects
Postmortem angiography
Postoperative hemorrhage
Postoperative Hemorrhage - etiology
Uterine Hemorrhage - etiology
Uterus - blood supply
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Summary:We report a case of fatal postoperative hemorrhage caused by failure to ligate the left uterine artery during a hysterectomy in a 42-year-old woman, as demonstrated postmortem by conventional autopsy methods and confirmed by angiography. Angiography was confirmed to be a useful adjunctive technique for postmortem diagnosis and localization of the bleeding point. In cases of suspected fatal postoperative hemorrhage, postmortem angiography may be of value to the forensic pathologist.
ISSN:1344-6223
1873-4162
DOI:10.1016/j.legalmed.2004.01.002