Original ArticlesFatal Rupture of Brachial Pseudoaneurysm in a Drug Abuser Case Report and Review of the LiteratureTrotta, Silvia MD∗; Sorrentino, Antonella MD∗; Bertozzi, Giuseppe MD†; Angiletta, Domenico FP‡; Solarino, Biagio MD∗Author Information From the ∗Department of Interdisciplinary Medicine, Institute of Legal Medicine, Policlinico di Bari Hospital, University of Bari, Bari †Department of Clinical Experimental Medicine, University of Foggia, Foggia ‡Vascular and Endovascular Surgery Unit, Policlinico di Bari Hospital, University of Bari, Bari, Italy. Manuscript received February 4, 2019; accepted May 16, 2019. The authors report no conflict of interest. Human and animal studies and informed consent: The article does not contain any studies with human participants requesting their informed consent. Reprints: Silvia Trotta, MD, Department of Interdisciplinary Medicine, Institute of Legal Medicine, Policlinico di Bari Hospital, University of Bari, Piazza G. Cesare 11, 70124 Bari, Italy. E-mail: [email protected]. The American Journal of Forensic Medicine and Pathology: December 2019 - Volume 40 - Issue 4 - p 386-390 doi: 10.1097/PAF.0000000000000504 Buy Metrics Abstract The injection of drugs of abuse causes many millions of deaths each year; deaths are mostly due to fatal overdose and the trauma and infection caused by repeated injections. The scientific literature widely reports cases of infected pseudoaneurysm in injecting drug abusers; however, most of these autopsy cases deal with the rupture of pseudoaneurysm of the femoral artery. We present fatal hemorrhagic shock in a heroin-cocaine abuser subsequent to rupture of pseudoaneurysm of the brachial artery; the man collapsed just before injecting himself with a dose of heroin-cocaine (speedball). Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.