PMC9969717_01
Macroscopic findings from the intrathoracic contents upon opening the thoracic cavity. Note the huge amount of clot.
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The autopsy showed 650 ml of dark red to black thick fluid content in the right hemithorax and 600 ml in the left hemithorax (Figure 1).
Gross examination of the distal esophagus showing a longitudinal complete rupture 15 mm from the cardia. Note the darkened esophageal mucosa.
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The esophageal mucosa was smooth and almost completely covered in bloody-black content (Figure 2).
Gross findings from the stomach and duodenum showing deep and wide duodenal ulceration in the duodenal bulb (arrow).
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A mucosal injury of depth 13 mm, covering an area of 20 mm x 15 mm with firm borders and blackish background, consistent with a duodenal bulb ulcer, was observed (Figure 3).