期刊名称：Brazilian Journal of Forensic Sciences, Medical Law and Bioethics
电子版ISSN：2237-261X
出版年度：2017
卷号：6
期号：2
页码：160-177
DOI：10.17063/bjfs6(2)y2017160
出版社：Instituto Paulista de Estudos Bioéticos e Jurídicos
摘要：Acute pancreatitis is characterized by inflammation of the pancreas, in which lesions range from interstitial edema to necrosis of the parenchyma with severe hemorrhage.Mortality is high when associated with multisystemic failure.Acute pancreatitis may be the cause of sudden death and its diagnosis, especially the necrotizing form, is made only after necropsy in up to half of the cases.Objectives: To evaluate the epidemiological and pathological characteristics deaths caused by acute pancreatitis examined at the Forensic Medicine Institute of Belo Horizonte (FMI-BH).Materials and methods: Retrospective analysis of FMI-BH necropsy reports whose cause of death was acute pancreatitis, performed from 2006 to 2012.Results: There was a predominance of men and the majority of cases were acute hemorrhagic pancreatitis, with the alcohol abuse being the predominant etiology.The mean age was 43 years, with half of the cases between 40 and 60 years old.Most corpses were found dead at home.There was a statistical relationship between the age group of 40 and 60 years and the occurrence of retroperitoneal hematoma.Systemic complications included pulmonary and cerebral edema, pleural effusion, and pneumonia.Conclusion: Although the main role of forensic necropsy is the investigation of the external causes of death, this study confirms that there are situations in which Legal Medicine plays an important role, especially in locations that do not have death verification services, in the evaluation of potential causes of sudden death, such as acute hemorrhagic pancreatitis.
关键词：Pancreatitis; Death; Sudden; Autopsy; Forensic Medicine
