Comments on death due to non-traumatic hemoperitoneum in Milan 2002-2016, with focus on two cases of abdominal apoplexy (idiopathic spontaneous hemoperitoneum) and review of the literature
Abstract
Forensic pathologists must decipher a lot of mysteries during their career. One prime example is abdominal apoplexy when the most crucial piece of the puzzle is missing, i.e., the source of bleeding.
An initially non-complicated case can nonetheless lead to a complicated aftermath: complaints of inadequate diagnostics, therapy, medical malpractice or even resuscitative artifacts. To avoid complaints, it is necessary, to go to as great a depth as possible in dealing with abdominal apoplexy.
It is vital to consider the etiopathogenesis as well as the risk and contributory factors, and to use all possible diagnostic methods and autopsy techniques. If these key points are consistently addressed, then abdominal apoplexy need not remain a puzzle without a solution.