Sudden death due to a colloid cyst: A post-mortem case

Posted By Abdulwahab Alahmari
Sudden death due to a colloid cyst: A post-mortem case

Gender, Age

Female, 17

Diagnosis

A hyperdense lesion seen based in the third ventricle which most likely to be a colloid cyst (measurements 18×18 mm) with a subsequent moderate to marked hydrocephalus, interstitial brain edema, and brainstem trans−tentorial herniation. There is no evidence of any fresh blood density.

History

Severe headache, nausea, and vomiting for two months. Her family brought their underage daughter only two times in two months period. The ER Doctors did not request a CT scan or anything because they thought its migraine. After 5 hours of visiting the ER, the patient passed away. A post-mortem CT scan was done for the corpse to determine the cause of the death.

Findings

The chest CT showed ground−glass opacities which may be caused by aspiration of the stomach content during death.

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Comments
  • Roland Talanow 2020-04-07 16:16:31

    Has the causality been proven?

    Abdulwahab Alahmari 2020-04-17 11:03:34

    The death report mentioned the cause of death.

    Roland Talanow 2020-04-15 11:02:33

    How was the causality proven? Can you explain?

    Abdulwahab Alahmari 2020-04-08 08:27:33

    Yes.

    Reply

  • Roland Talanow 2020-04-07 12:50:32

    Is this a histology proven case?

    Abdulwahab Alahmari 2020-04-17 11:14:26

    The clinical presentation and pts Hx fits with the colloid cyst. There are view similar published cases. The same situation, clinical presentation, image findings, etc.

    Check the following links:

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2850975/
    https://www.ncbi.nlm.nih.gov/pubmed/19446972

    Roland Talanow 2020-04-15 11:03:05

    How do you know it is a colloid cyst and not another differential diagnosis?
    You said "most likely to be a colloid cyst "

    Abdulwahab Alahmari 2020-04-08 08:28:34

    No histopathology confirmation.

    Reply