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Case of the Month
Institutional Autopsy Rates
Arch Intern Med. 1998;158:1171-1172.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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INTRODUCTION
A 35-YEAR-OLD man with end-stage acquired immune deficiency syndrome was admitted to the hospital for severe abdominal pain, abdominal tenderness, and fever. A computed tomographic scan showed colonic distension, thickening of the colonic wall, and a possible rectal mass. Death occurred within 24 hours of admission to the hospital, and permission to perform an autopsy was requested to evaluate the gastrointestinal tract. Recently, he had been given clindamycin for empirically suspected central nervous system toxoplasmosis.
AUTOPSY FINDINGS
The results of the autopsy showed pneumonia due to cytomegalovirus infection and massive dilatation of the entire colon, which had a diameter approximately 3 times the normal size. The colonic wall was thickened and edematous, the mucosa of the distal colon was necrotic, and the remaining mucosa showed numerous ulcerative lesions and a thick fibropurulent pseudomembrane. Microscopically, the colon showed morphologic changes typical of pseudomembranous colitis, normally distributed ganglia (ie, no evidence of congenital megacolon), . . . [Full Text of this Article]
COMMENT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Case of the Month: Wrapping Things Up
Hanzlick and the Autopsy Committee of the College of American P
Arch Intern Med 2000;160:3029-3031.
FULL TEXT
The Educational Value of Autopsy in a Residency Training Program
Durning and Cation
Arch Intern Med 2000;160:997-999.
ABSTRACT
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Case of the Month: Education of the Pathologist
Hanzlick et al.
Arch Intern Med 1999;159:907-908.
FULL TEXT
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