A rare case of sudden death due to thrombus from the internal iliac vein

Abstract A 40-year-old healthy housewife died after joining a special summer camp for her diabetic daughter. The victim sat for 4 h 40 min while traveling by car on the day before her death. Autopsy revealed she died from a pulmonary thromboembolism (PTE), whereby portions of a blood-clot that had b...

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Bibliographic Details
Published in:Journal of forensic and legal medicine 2008-02, Vol.15 (2), p.101-103
Main Authors: Mimasaka, Sohtaro, MD, PhD, Oshima, Toru, MD, PhD, Tsunenari, Shigeyuki, MD, PhD
Format: Article
Language:English
Subjects:
Adult
Arterial Occlusive Diseases - pathology
Death, Sudden - etiology
Female
Forensic Pathology
Humans
Iliac Vein
Internal iliac veins
Pathology
Posture
Pulmonary Artery - pathology
Pulmonary Embolism - etiology
Pulmonary Infarction - pathology
Pulmonary thromboembolism
Thromboemboli
Time Factors
Venous Thrombosis - complications
Venous Thrombosis - pathology
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Summary:Abstract A 40-year-old healthy housewife died after joining a special summer camp for her diabetic daughter. The victim sat for 4 h 40 min while traveling by car on the day before her death. Autopsy revealed she died from a pulmonary thromboembolism (PTE), whereby portions of a blood-clot that had been formed in the internal iliac veins detached and traveled to the lungs, blocking the pulmonary blood flow. The leg veins are the most common source of thromboembolism; PTE caused by thromboemboli from the internal iliac veins is rare. We discuss the mechanisms of the present victim’s death, and the conditions and risk factors involved in PTE.
ISSN:1752-928X
1878-7487
DOI:10.1016/j.jflm.2007.02.002