<- Home <- Arhive <- Vol. 26, Issue 2, June 2018



Rom J Leg Med26(2)134-137(2018)
DOI:10.4323/rjlm.2018.134
© Romanian Society of Legal Medicine


Autopsy case of acute esophageal necrosis associated with fatal diabetic ketoacidosis

T. Yamamoto, A. Miura, H. Nishio,


Abstract: Acute esophageal necrosis is a rare disorder. Only a few autopsy cases have been reported so far. The case of a man in his 40s with acute esophageal necrosis who died of diabetic ketoacidosis, which is known to be a cause of acute esophageal necrosis, is reported. The victim showed a black colored esophagus. Its histology was consistent with that of acute esophageal necrosis. It was the clue to the cause of death being diabetic ketoacidosis, which was confirmed by marked elevation of β-hydroxybutyrate in the blood sample. The postmortem diagnosis of diabetic ketoacidosis is sometimes difficult, because it shows no specific findings on gross examination. The finding of acute esophageal necrosis may suggest the diagnosis of diabetic ketoacidosis.
Keywords: acute esophageal necrosis, autopsy, diabetic ketoacidosis, gastric erosion, hypothermia.



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