Universität zu Köln

Feld, Katharina ORCID: 0000-0003-2699-2741, Mellin, W., Melzer, B., Rothschild, Markus A. and Fries, Jochen (2022). Fatal hemorrhage after tonsillectomy A case of segmental mediolysis in arterioles. Rechtsmedizin, 32 (1). S. 52 - 58. NEW YORK: SPRINGER. ISSN 1434-5196

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Abstract

This is the first report of a segmental mediolysis occurring in arterioles, affecting the neck/tonsillar region and leading to a fatal hemorrhage after a tonsillectomy in a 20-year-old woman. Arteriolar mediolysis could be observed in tissue layers about 2 cm distant from the tonsillectomy region. Reparative changes were observed in the carotid and small neck arteries as well as in only one intramyocardial arteriole; however, no other vascular regions typically reported in segmental mediolysis arteriopathy were affected and aneurysm formation was not observed. No family history of vascular disease or hypertension was known. Pathophysiologically, previously reported reasons for post-tonsillectomy bleeding could be excluded. Segmental mediolysis may represent a wider spectrum of affected arteriolar vessels besides the reported small and medium sized arteries leading to aneurysms, which impedes radiographic diagnosis.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Feld, Katharina UNSPECIFIED orcid.org/0000-0003-2699-2741 UNSPECIFIED Mellin, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Melzer, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rothschild, Markus A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Fries, Jochen UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-568122
DOI:	10.1007/s00194-021-00502-8
Journal or Publication Title:	Rechtsmedizin
Volume:	32
Number:	1
Page Range:	S. 52 - 58
Date:	2022
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1434-5196
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ARTERIOPATHY; ARTERITIS; HYPONATREMIA; VASCULITIS; SECONDARY; DEATH Multiple languages Medicine, Legal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56812