Forensic Science, Medicine, and Pathology

, Volume 13, Issue 2, pp 252–254 | Cite as

Incidental necrotizing aortitis in a child

  • Stephen WillsEmail author
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Case report

A previously well 11-year old male child with no significant previous medical history was the passenger in a car which collided with an oncoming vehicle, causing extensive damage to the cabin area. He was pronounced deceased at the scene. The incident was the subject of an investigation by the Police and the State Coroner.

Post-mortem examination revealed multiple injuries. In addition, immediately superior to the sino-tubular junction, the aortic wall demonstrated irregularity with a wrinkled “tree bark” appearance and apparent scarring of the intima and some mild and patchy thinning of the aortic wall (Fig. 1), raising the possibility of an incidental aortitis, unconnected to his death.


Compliance with ethical standards

Ethical approval

This article does not contain any studies with human participants performed by any of the authors. Approval to report the case was given by Forensic Science SA, Adelaide, Australia.


This study was not funded.

Conflict of interest

The author declares that he has no conflict of interest.


  1. 1.
    Gornik HL, Creager MA. Aortitis. Circulation. 2008;117:3039–15.CrossRefGoogle Scholar
  2. 2.
    Tavora FT, Burke A. Review of isolated ascending aortitis: differential diagnosis, including syphilitic, Takayasu’s and giant cell aortitis. Pathology. 2006;38(4):302–8.CrossRefGoogle Scholar
  3. 3.
    Burke A, Tavora F. Practical cardiovascular pathology. Philadelphia: Wolters Kluwer Health/Lippincot Williams & Wilkins; 2011.Google Scholar
  4. 4.
    Burke A, Tavora F, Narula N, Tomaszewski JE, Virmani R. Aortitis and ascending aortic aneurysm: 52 cases and proposal of a histological classification. Hum Pathol. 2008;39:514–26.CrossRefGoogle Scholar
  5. 5.
    Isobe M. Takayasu arteritis revisited: current diagnosis and treatment. Int J Cardiol. 2013;168:2–10.CrossRefGoogle Scholar
  6. 6.
    de Souza AWS, de Carvalho JF. Diagnostic classification criteria of Takayasu arteritis. J Autoimmun. 2014;48–49:79–83.Google Scholar
  7. 7.
    Szugye HS, Spalding SJ. Takayasu arteritis in the paediatric population: a contemporary United States-based single Centre cohort. Pediatr Rheumatol Online J. 2014;12:21.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Forensic Science SAAdelaideAustralia

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