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Fatal Rupture of Brachial Pseudoaneurysm in a Drug Abuser

Case Report and Review of the Literature

Trotta, Silvia MD*; Sorrentino, Antonella MD*; Bertozzi, Giuseppe MD; Angiletta, Domenico FP; Solarino, Biagio MD*

The American Journal of Forensic Medicine and Pathology: July 11, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/PAF.0000000000000504
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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).

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; and

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: silvia.trotta89@gmail.com.

© 2019 by Lippincott Williams & Wilkins.