Forensic Sci Med Pathol (2017) 13:394–395 DOI 10.1007/s12024-017-9843-z LETTER TO THE EDITOR Regarding the sudden death of a juvenile with rare TdT-negative T-LBL/T-ALL, splenic rupture, and mediastinal mass 1 1 Slobodan Nikolić & Vladimir Živković Accepted: 17 January 2017 /Published online: 18 February 2017 Springer Science+Business Media New York 2017 In the article by Gascho et al.  “Splenic rupture and medi- either alone or in combination [2, 5]), it could have led astinal mass associated with rare TdT-negative T-LBL/T-ALL to the fatal outcome. A weak pulse noticed by emergency lead to sudden death of a juvenile” , the most important paramedics, circulatory arrest at the hospital clinic, ab- information about the case is missing: what was the amount of dominal bleeding detected by trauma room computed to- mography, brain and lung edemas revealed by postmor- blood in the abdominal cavity, caused by bleeding due to splenic rupture? tem imaging and confirmed microscopically – all listed “Spontaneous ruptures” never involve truly normal in the paper by Gascho et al. -speak in favorof spleens, but rather stem from some minor physical insult blood loss as the cause of sudden death in this case. to a spleen made fragile by an
"Forensic Science, Medicine, and Pathology" – Springer Journals
Published: Feb 18, 2017
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