Publication: Inferior Vena Cava Tumor Thrombosis Secondary to Metastatic Uterine Cancer: A Rare Cause of Sudden Unexpected Death
Issued Date
2016-03-01
Resource Type
ISSN
15564029
00221198
00221198
Other identifier(s)
2-s2.0-84975691102
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Forensic Sciences. Vol.61, No.2 (2016), 555-558
Suggested Citation
Supawon Srettabunjong, Tuenjai Chuangsuwanich Inferior Vena Cava Tumor Thrombosis Secondary to Metastatic Uterine Cancer: A Rare Cause of Sudden Unexpected Death. Journal of Forensic Sciences. Vol.61, No.2 (2016), 555-558. doi:10.1111/1556-4029.13032 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/43086
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Inferior Vena Cava Tumor Thrombosis Secondary to Metastatic Uterine Cancer: A Rare Cause of Sudden Unexpected Death
Author(s)
Other Contributor(s)
Abstract
© 2016 American Academy of Forensic Sciences. Pulmonary tumor thromboembolus (PTTE) secondary to uterine cancer is a rare cause of sudden unexpected deaths in the elderly population. Additionally, tumor extension to the inferior vena cava (IVC) makes it rarer. No such cases have been previously reported in the forensic literature. We report this phenomenon in a previously healthy 70-year-old woman with no other known risk factors for the development of deep vein thrombosis. The deceased was found dead while watching television with her relatives. Autopsy examination revealed that her death was attributed to a saddle embolus lodged in the main pulmonary arteries. A uterine tumor was discovered, and microscopic examination revealed low-grade endometrial stromal sarcoma with angiolymphatic invasion. The tumor cells were also found in the embolus and the remnant thrombosis attached to the inner wall of the IVC. This case demonstrates a sudden unexpected death caused by acute PTTE following seeding of uterine cancer into the IVC and raises awareness of such events.