6533b838fe1ef96bd12a5192

RESEARCH PRODUCT

Post-traumatic lethal carotid-cavernous fistula.

Valentina TrioloBono GPaolo ProcacciantiStefania ZerboAntonina ArgoRosa Liotta

subject

AdultMalemedicine.medical_specialtyCarotid-cavernous fistulaMaxillary sinusFistulaAutopsyHemorrhageTraumaUnexpected deathMaxillary FracturesPathology and Forensic MedicineLesionCarotid-Cavernous Sinus FistulaSettore MED/43 - Medicina Legalemedicine.arterymedicineHumansSella TurcicaCarotid-cavernous fistulaOrbital FracturesArterial dissectionSkull Fracturesbusiness.industryGeneral MedicineUnexpected deathMaxillary Sinusmedicine.diseaseSurgerymedicine.anatomical_structureEpistaxisAccidental FallsRadiologyArterial dissectionInternal carotid arterymedicine.symptombusinessCarotid Artery InjuriesLawCarotid Artery Internal

description

The authors report about an unexpected death by traumatic lesion of the internal carotid artery in a 30-year-old man who had fallen two metres. The man suffered a fracture of the left maxillary sinus and a fracture of the right orbit with bilateral haemorrhage of the maxillary sinus. Surgical treatment was performed with favorable outcome. Clinically, there were no neurological symptoms but about 60 days after his accident, the man died from uncontrolled epistaxis. He was submitted to the autopsy that show a linear fracture in the left side of the turcic sella and lesion of the left internal carotid artery with carotid-cavernous fistula.

10.1016/j.jflm.2007.07.004https://pubmed.ncbi.nlm.nih.gov/18423363