Resident Autopsy Log

Resident
Resident Name Year Date Case Note Patient Type

Boumendjel, Redouane 1 07-13-2006 AU06-37 Adult
edit / view / delete Institute:University of Illinois Ho
Comments: 71 y.o female AA with Pulmonary embolism
» 88025 Necropsy (autopsy), gross and microscopic; with brain
Boumendjel, Redouane 1 07-18-2006 AU06-39 Pediatric
Comments: I)Prematurity of male fetus(20weeks gestation) II)Placental status (please refer to report SP06-

7606) 1-Funisitis 2-Chorinitis 3-Deciduitis 4-Subchorionic hemorrhage.
» 88029 Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain
Comments: 82 year-old male with refractory acute myeloid leukemia (AML, subtype M6) and history of
testicular large B cell lymphoma, in remission: I. Brain (Weight: 1200 gm): A. Subdural hematoma (15 cm
greatest dimension) B. Transtentorial and uncal herniation (preliminary findings) C. See separate
neuropathology report II. Bone marrow: A. Hypercellular marrow (100%) with complete replacement of normal

marrow elements by a population of blasts B. Previous bone marrows (BM06-108, GN06-425) showing
hypercellular marrow with increased blasts (21%) consistent with AML (cytogenetics consistent with 11q
abnormalities)(Please see reports BM06-157, 150, and 145) -Clinical history of primary testicular lymphoma,
s/p chemoradiation
Comments: 78y.o male I. Genitourinary System: a. Urosepsis (clinical) b. Urinary bladder with post radiation
changes, mucosal desquamation, congestion, hemorrage and numerous luminal blood clots c. History of
bladder rupture s/p repair, sutures intact d. Bilateral hydroureteronephrosis e. Focal perirenal microabcess,
Rt. Kidney f. Bilateral simple renal cysts f. Bilateral arterionephrosclerosis, mild g. S/P bilateral nephrostomies
h. Prostate with predominantly stromal hyperplasia II. Cardiovascular System: a. Cardiomegaly (675 gm) with

left ventricular hypertrophy (1.7 cm) b. Coronary atherosclerosis s/p stent placement c. History of atrial flutter
s/p defibrillator placement ( wires intact) d. Aortic atherosclerosis, moderate, predominantly seen in
abdominal aorta III. Respiratory System: a. Bronchopneumonia involving Rt. middle, Rt. lower and left lower
lobes b. Bilateral pulmonary congestion and edema (Rt. lung 1175gm, Lt. lung 950 gm) c. Bilateral
emphysema with apical emphysematous blebs d. Rt. pleural adhesions
Comments: I) Stillborn phenotypically female 38weeks gestation(2700 gm) II) Mother G2P1 19 y.o without
proper prenatal care. III) Intrauterine fetal demise IV) Severe maceration w/o gross abnormalities. V) From
report SP06-8145 regarding the placenta: a. Third trimester placenta(580 gm) with a hematoma. b.
Vilamentously inserted trivessel umbilical cord. c. Membranes with edema in the amnion. VI) Karyotype: 46
XX ( GN06-770) normal.
Comments: Premature stillborn phenotypically female fetus (32 weeks gestational age) delivered to a 24
year-old G2P1 mother. I. Morphologically normal female fetus (Weight: 1892 g, Crown-heel 42 cm): a. Large
for gestational age (LGA) b. Organs large for gestational age: -Large thymus (8 g) -Spleen (9 g) -Adrenals (7
g) c. Microscopic examination consistent with gestational age d. Mother with history of severe obesity
(BMI=38.5) II. Placenta (390 g) with subchorial hematoma (5 x 5 x 1 cm) and intervillous fibrin deposition (see
SP06-9393): -Clinical history of abruptio placentae -Mother with history of cigarette smoking (during
pregnancy) III. Neuropathology: immature brain
» 88028 Necropsy (autopsy), gross and microscopic; infant with brain
Comments: 23 weeks gestational age female stillborn fetus delivered to a 21 y.o G3P2 mother for intrauetrine
fetal demise. I. Hydrops fetalis ( clinically non-immune) II. Severe maceration and autolysis. III. Placenta

reported separately (SP-06-9509);there were immature chorionic villi ,three vessels umblical cord and
membranes free of inflammation. IV. Neuro examination: immature brain with autolysis
Boumendjel, Redouane 1 09-06-2006 LA06-40 Adult
edit / view / delete Institute:Advocate Lutheran General
Comments: 84 y.o male with: I. Cardiovascular system: 1. Cardiomegaly (weight 560 grams) with mild
biventricular hypertrophy and focal left ventricular interstitial fibrosis compatible with old infarct. 2. Calcific
mitral valvular disease. 3. Coronary arteriosclerosis involving the RCA and LAD 4. Minimal pericardial
effusion (50cc). 5. Diffuse calcific atherosclerosis of the thoracic and abdominal aorta, severe, with focal
aneurysm formation, status post inferior vena cava filter placement. II. Respiratory system: 1. Acute
pneumonitis involving the lower lobes of the lungs. III. Others: 1. Colonic mucosal diverticulosis with
rectovesical fistula and abscess cavity formation and associated ileovesical fibrous adhesions.
» 88020 Necropsy (autopsy), gross and microscopic; without CNS
Boumendjel, Redouane 1 10-16-2006 LA06-44 Pediatric
Comments: A. Extremely premature non-viable male fetus (weight 314 grams, 23 weeks gestation) with: 1.
Cleft lip and palate. 2. Low set ear, left, with severe hypoplasia of external ear. 3. Mild to moderate skin
maceration. B. Singleton placenta (weight 95 grams) with accelerated villous maturation, focal small infarcts
comprising less than 5% of the total placental volume, and marginally inserted three-vessel umbilical cord. C.
Cytogenetic studies (LX06-3401 and LX06-3402) unable to be performed due to specimen contamination. D.
Maternal clinical history: 1. Severe pre-eclampsia and HELLP syndrome. 2. HSV infection. 3. Depression.
Comments: 81 y.o female: -Acute myocardial infarction (2.0 cm), recent, involving anterior wall of left ventricle

with extension into the anterior interventricular septumACUTE MI
Boumendjel, Redouane 1 11-07-2006 IA06-32 Pediatric
edit / view / delete Institute:Advocate Illinois Masonic
Comments: STILLBORN 30 WKS male fetus I. SEVERELY MACERATED MALE FETUS: - STILLBORN AT
30 3/7 WEEKS GESTATIONAL AGE. - WEIGHT = 560 GRAMS. - CROWN-HEEL LENGTH = 30.2 CM. -
CROWN-RUMP LENGTH = 21.5 CM. - HEAD CIRCUMFERENCE = 19.8 CM. II. NO EXTERNAL OR

INTERNAL CONGENITAL ANOMALIES NOTED. III. PLACENTA (ISO6-7984) WITH EXTENSIVE ISCHEMIC
CHANGE, MECONIUM STAINING AND ACUTE CHORIOAMNIONITIS. IV. CYTOGENETIC STUDIES: 46
XY
Comments: INTRAUTERINE FETAL DEMISE OF A PHENOTYPICALLY MALE FETUS (WEIGHT 563
GRAMS), GESTATIONAL AGE 32 WEEKS BY DATES AND 21 WEEKS BY ULTRASOUND. II. SEVERE

MACERATION. III. NO GROSS ABNORMALITIES. IV. PLACENTA DEMONSTRATING SINGLE UMBILICAL
ARTERY AND CALCIFICATION.
Resident
Comments: STILLBORN MALE 30 WKS STILLBORN MALE FETUS (WEIGHT 1394 GRAMS, LENGTH 39
CM CORRESPONDING TO A GESTATIONAL AGE OF 30 WEEKS. II. SEVERE MACERATION. III. NO
OTHER GROSS OR MICROSCOPIC ABNORMALITIES.
Boumendjel, Redouane 1 12-27-2006 IA06-41 Adult
Comments: 58 y.o male CARDIOVASCULAR: - SEVERE CORONARY ARTERY DISEASE WITH
COMPLETE OCCLUSION OF RIGHT AND LEFT ANTERIOR DESCENDING CORONARY ARTERIES,
STATUS POST STENT PLACEMENT IN LEFT MAIN, LEFT ANTERIOR DESCENDING AND CIRCUMFLEX
CORONARY ARTERIES. - STENTS PATENT. - LEFT VENTRICULAR HYPERTROPHY (2.2 CM). - LEFT
VENTRICULAR DILATATION, MILD. - SCLEROSIS OF SMALL ARTERIOLES, LEFT VENTRICLE. -
MULTIFOCAL OLD MYOCARDIAL INFARCTION, ESPECIALLY SUBENDOCARDIAL. - MULTIFOCAL

SUBACUTE MYOCARDIAL MICROINFARCTION. - MULTIFOCAL ACUTE MYOCARDIAL
MICROINFARCTION (12-24 HOURS). - ATHEROSCLEROSIS OF AORTA, MILD TO MODERATE. -
GANGRENE OF RIGHT LOWER EXTREMITY. - PERIPHERAL VASCULAR DISEASE, DIABETES,
HYPERTENSION, HYPERLIPIDEMIA (CLINICAL). II. PULMONARY: - BILATERAL PULMONARY EDEMA
AND CONGESTION (RIGHT LUNG 325 GRAMS, LEFT LUNG 675 GRAMS). - MINIMAL RIGHT PLEURAL
EFFUSION (20 ML).
Boumendjel, Redouane 1 01-09-2007 Adult
edit / view / delete Institute:Jesse Brown VA Medical Ce
Comments: 85 y.o male with: B-cell lymphoma
Comments: 62 y.o male with: Acute pancreatitis, bilateral pneumonia
Comments: 57 y.o male: Bilateral Bronchopneumonia
Comments: Female baby at 41 weeks of gestation (3435 grams) with intrauterine fetal demise born to a 31
year old mother, Gravida 1, Para 0: 1. Moderate maceration. 2. No gross congenital abnormalities. 3.

Placenta: - Mature placenta with mild acute chorioamnionitis, meconium staining of membranes and focal
small subamniotic hematoma. - Three vessel umbilical cord with minimal acute phlebitis.
Comments: Immature stillborn female fetus (Twin A) born to a 24-year-old G4P2012 mother. I. Moderately
macerated immature stillborn female fetus ( 947 grams, 38 cm crown-heel length, 28 3/7 weeks gestation ). II.

Placenta (SP-07-5339) shows monochorionic diamnionic twin placenta, negative for chorioamnionitis and
funisitis
Comments: A phenotypically female fetus (689 gm) at 25.4 weeks gestation, born to a G1P0 mother for:
Intrauterine fetal demise Moderate maceration Multi-organ autolysis Negative for viral cytopathic changes

Negative for gross congenital anomalies Placenta: a. Immature placenta with premature maturation of villi b.
Unremarkable three vessel umbilical cord c. Positive for chorioamnionitis d. Placental weight: 259 g
Comments: 55 y.o female I. Cardiopulmonary system: a. Acute bronchopneumonia involving the RUL, LUL.
b. Bilateral pulmonary edema (Rt = 500 gm, Lt = 450gm) c. Bilateral pleural effusions, serosanguinous ( 1000
ml each side) d. Bilateral multifocal pulmonary interstitial fibrosis and focal emphysematous changes. e.
Coronary arteries atherosclerosis, mild to moderate with a partial luminal obstruction of up to 50%. f.
Moderate aortic atherosclerosis with calcifications and focal dissection involving the abdominal aorta II.
Gastrointestinal system: a. Cirrhosis of liver with massive macrovesicular steatosis (100%). b. Massive
serous ascites (5000 ml) c. Chronic pancreatitis d. Esophageal teleangiectasia. e. Small and large bowel with
diffuse edema, focal ischemic changes and mucosal hemorrhage III. Genitourinary: a. Focal nephrosclerosis
and arteriolosclerosis.
Boumendjel, Redouane 1 05-25-2007 au07-43 Pediatric
Comments: Intrauterine fetal demise of a 25 weeks Gastroschesis
Comments: Bilateral bronchopneumonia, Bilateral pleural adhesions, Down syndrome
Resident
Comments: Cardiomegaly, Pulmonary congestion, Ascitis 1L.
Comments: IUFD 19wks
Comments: IUFD 19 wks
Comments: Cirrhosis, ascitis 1.5L, nephroarteriolosclerosis
Comments: IUFD, Severe maceration
Comments: Pulmonary edema, nephroarteriolosclerosis, hemorrhagic gastritis.
Comments: Myxoid liposarcoma of abdomen, and pelvis. Intraperitoneal and retroperitoneal bleeding

3000ml Bilateral elevation of the diaphragm.
Comments: Sepsis, proteus mirabilis, bilateral bronchopneumonia, biventricular cadiac failure.
Comments: Pleural effusions, Rectosigmoid perforation
Comments: Zellweger syndrome, club feet
Comments: Premature 26 weeks, expired at 4 mos after birth. Ileostomy, liver cirrhosis.
Comments: Large B-cell lymphoma with mesenteric and splenic hilar masses. Bilateral pleural

effusions, CAD.
Resident
Comments: ALOBAR HOLOPROSENCEPHALY CLEFT LIP, LOW SET EARS.
Comments: IUFD 26 weeks, syndactyly of both hands, low set ears, severe maceration.
Comments: IUFD 38 weeks, severe maceration, no gross abnormalities, macrosomia (3800gm).
Comments: IUFD 33 wks Twin A, mod maceration, possible twin twin transfusion
Comments: IUFD 33 wks Twin B, Mod maceration, poss twin twin transfusion
Comments: 6 mos female Down syndrome, tetralogy of fallot, pericardial effusion 30cc, pleural effusions

20cc, ascites 300cc.
Comments: 23 weeks IUFD, marked maceration, cytogenetics normal karyotype, placenta normal except

for 50% hemorrhagic cotyledons.
Comments: 22 WEEKS IUFD w/ Phocomelia, rt lung with 2 lobes, hypoplastic thoracic cavity,

macroglossia
Comments: Aspiration, bilateral pneumonia, severe aortic atherosclerosis, moderate CAD, ascites, pleural

effusions
Comments: Acute chorioamnionitis, no gross abnormalities, severe maceration.
Comments: IUFD 33 wks gestation, cardiomegaly, severe maceration. Trisomy 18 Tetralogy of

Fallot( eizenmenger complex)
Resident
Comments: Chylothorax( 2, 3 ml), Chylopericardium (11 cc). ASD 2 mm. Secondary

Comments: Saddle pulmonary embolus.

Comments: 6 days old born at 33wks Bronchopneumonia, Liver necrosis, Intra-abdominal hemorrhage s/p

gastric perforation, Intraparenchymal cerebral hemorrhages.
Comments: This is a phenotypically male stillborn fetus ( 2175 gm) born at 37 weeks gestation with: -severe
maceration with extensive calvarial bone disarticulation - Multiorgan autolysis - No gross abnormalities
1/22/2009
Comments: 49 y.o Male : Sepsis( pseudomonas aeruginosa), acute peritonitis, liver cirrhosis, intra-

abdominal blood clots.
Comments: 35 y.o colapsed at work in hospital for 2 weeks with: -Acute MI of the anterior, septal and lateral

walls of the left ventricle unknown etiology
Comments: 74 y.o male with: -Pancreatic neuroendocrine carcinoma metastatic to lungs, liver, left kidney
and posterior mediastinum. -Tumor extends into the mesentery, periaortic soft tissues and retroperitonel
skeletal muscle.

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Resident

Resident Name Year Date Case Note Patient Type

Boumendjel, Redouane 3 09-12-2008 AU08-80 Adult

Boumendjel, Redouane 3 10-22-2008 IA08-30 Pediatric

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