Esophageal Variceal Bleed in Cirrhotic Liver: An Autopsy Case Report Sangita Moirangthem1, Saha Chirantan2,*, Chourasia Jai Kumar3, Arora Arneet4, Raghav Abhay Singh5, Chouskey Vivek Kumar6 1Senior Resident, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Bhopal, India 2Academic Junior Resident, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Bhopal, India 3Associate Professor, Department of Pathology & Lab Medicine, All India Institute of Medical Sciences, Bhopal, India 4Professor & Head, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Bhopal, India 5Non-Academic Junior Resident, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Bhopal, India 6Assistant Professor, Department of Forensic Medicine, Atal Vihari Vajpayee Government Medical College, Vidisha, MP *Corresponding Author : Dr. Chirantan Saha, Academic JR, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Bhopal, Phone : +91-9748744674, E-mail: sahachiratan2012@gmail.com
Online Published on 28 July, 2023. Abstract Upper gastrointestinal hemorrhage is one of the most common causes of sudden death among the gastrointestinal causes. Varices can burst and bleed, resulting in sudden death. The majority of gastrointestinal varices are due to portal hypertension caused by liver cirrhosis which mostly occurs among the alcoholics. Variceal hemorrhage is a substantial cause of morbidity and mortality. The role of forensic pathologist is of prime importance in dealing with sudden death. Here we report a case of 53 years old obese, alcoholic male who was found in an unconscious state at his home and whose cause of death was reported as death due to rupture of oesophageal varices, which was later confirmed on histopathological examination. We further discuss the histopathological findings in this case. Correlation of autopsy findings with histopathological examination is very important to confirm and also to understand the pathophysiology of such cases. In medicolegal cases, histopathology of such lesion adds future evidence in confirming and resolving the cause of death Top Keywords Sudden Death, Esophageal Varices, Haemorrhage, Histopathological Examination. Top |