case_images: PMC9969717_01
case_images: Macroscopic findings from the intrathoracic contents upon opening the thoracic cavity. Note the huge amount of clot.
case_images: 1806-9460-spmj-135-01-71-gf1.jpg
case_images: PMC9969717_01_1806-9460-spmj-135-01-71-gf1.jpg
case_images: f1
case_images: 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).
case_images: Gross examination of the distal esophagus showing a longitudinal complete rupture 15 mm from the cardia. Note the darkened esophageal mucosa.
case_images: 1806-9460-spmj-135-01-71-gf2.jpg
case_images: PMC9969717_01_1806-9460-spmj-135-01-71-gf2.jpg
case_images: f2
case_images: The esophageal mucosa was smooth and almost completely covered in bloody-black content (Figure 2).
case_images: Gross findings from the stomach and duodenum showing deep and wide duodenal ulceration in the duodenal bulb (arrow).
case_images: 1806-9460-spmj-135-01-71-gf3.jpg
case_images: PMC9969717_01_1806-9460-spmj-135-01-71-gf3.jpg
case_images: f3
case_images: 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).