Fatal traumatic rupture of ascending aortic aneurysm having idiopathic cystic medial necrosis: An autopsy case.

This report describes an autopsy case pertaining to death due to traumatic rupture of aortic aneurysm. A 21 year old deaf and dumb male was assaulted with kicks over the chest. Autopsy revealed external injuries over the body. Internally, a fusiform aneurysmal dilatation of the lumen of the aortic root and tubular segment of the ascending aorta were observed, with tear of the anterior wall of the ascending aorta and resultant haemopericardium. Histologically, the wall of the aneurysm revealed cystic medial necrosis, which appears to idiopathic in nature. A Common complication of aortic aneurysms is dissection, with subsequent spontaneous rupture. In this case, there was no evidence of dissection and the rupture was traumatic in nature. Death was certified as due to cardiac tamponade. The extent of trauma to which the victim was subjected to, appears to be such as would have been insufficient to cause death in an otherwise normal individual. An account of the findings, along with a discussion of the pathology of aneurysms and cystic medial necrosis as also of the mechanism of rupture of aneurysms is provided.

Death due to multiple honeybee stings: A case report with review of literature.

Deaths involving honeybee stings are not very common. Deaths which do occur from bee stings, usually involve a single or a few stings, and fatality is most commonly the result of anaphylaxis. Mass envenomation by a swarm of bees, wherein a person may be stung hundreds of times is quite rare. In the few cases that have been reported in literature, death has occurred due to toxaemia and renal failure, rather than allergic anaphylaxis. This case report pertains to a young male who was brought dead to the hospital with a history of having been attacked by a swarm of wild honey bees. At autopsy, 1506 separate bee sting marks with stingers in situ could be located over the entire body, mostly those areas that were not covered by clothes. Autopsy revealed only generalized visceral congestion.