Resident Autopsy Log 2

Resident
Resident Name Year Date Case Note Patient Type

Boumendjel, Redouane 1 07-13-2006 AU06-37 Adult 71 y.o female

DX: Pulmonary embolism
» 88025 Necropsy (autopsy), gross and microscopic; with brain
Boumendjel, Redouane 1 07-18-2006 AU06-39 Pediatric male fetus(20weeks gestation

DX: 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
Boumendjel, Redouane 1 07-18-2006 AU06-40 Adult: 82 year-old male

DX: 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)
Boumendjel, Redouane 1 07-18-2006 AU06-43 Adult: 78y.o male

DX: 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
Boumendjel, Redouane 1 07-28-2006 AU06-48 Pediatric female (38weeks gestation)

DX: I) Stillborn phenotypically female 38weeks gestation (2700 gm) II) Intrauterine fetal demise III) Severe
maceration w/o gross abnormalities. IV) Placenta: with a hematoma., Vilamentously inserted trivessel
umbilical cord. . Membranes with edema in the amnion.
Boumendjel, Redouane 1 08-26-2006 AU06-53 Pediatric female fetus (32 weeks gestation)

DX: 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 (-
Clinical history of abruptio placentae.
» 88028 Necropsy (autopsy), gross and microscopic; infant with brain

DX: 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.
Boumendjel, Redouane 1 09-06-2006 LA06-40 Adult 84 y.o male

DX: 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 male fetus (23 weeks gestation)

DX: 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.
Maternal clinical history: 1. Severe pre-eclampsia and HELLP syndrome. 2. HSV infection. 3. Depression.
Boumendjel, Redouane 1 10-27-2006 LA06-46 Adult 81 y.o female

DX: 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 male fetus (30 weeks gestation)
edit / view / delete
DX: I. SEVERELY MACERATED MALE FETUS: - STILLBORN AT 30 3/7 WEEKS GESTATIONAL AGE.. II.
NO EXTERNAL OR INTERNAL CONGENITAL ANOMALIES NOTED. III. PLACENTA WITH EXTENSIVE

ISCHEMIC CHANGE, MECONIUM STAINING AND ACUTE CHORIOAMNIONITIS. IV. CYTOGENETIC
STUDIES: 46 XY

DX: 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

DX: 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 58 y.o male

DX: MULTIFOCAL ACUTE MYOCARDIAL MICROINFARCTION (12-24 HOURS).
Boumendjel, Redouane 1 01-09-2007 Adult 85 y.o male

DX: B-cell lymphoma
DX: Acute pancreatitis, bilateral pneumonia


DX: Bilateral Bronchopneumonia
Boumendjel, Redouane 1 04-06-2007 LA07-19 Pediatric female fetus (41 weeks gestation)
DX: 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.
DX: I. Moderately macerated immature stillborn female fetus (947 grams, 38 cm crown-heel length, 28 3/7

weeks gestation).
Boumendjel, Redouane 1 05-21-2007 AU07-38 Pediatric female fetus (25.4 weeks gestation)
DX: A phenotypically female fetus (689 gm) at 25.4 weeks gestation, born to a G1P0 mother for: Intrauterine

fetal demise Moderate maceration,acute chorioamnionitis
Boumendjel, Redouane 1 05-24-2007 AU07-41 Adult 55 y.o female
DX: 1. Acute bronchopneumonia involving the RUL, LUL. 2. Bilateral pulmonary edema (Rt = 500 gm, Lt =
450gm) 3. Bilateral pleural effusions, serosanguinous (1000 ml each side) 4. Bilateral multifocal pulmonary

interstitial fibrosis and focal emphysematous changes. 5. Cirrhosis of liver with massive macrovesicular
steatosis (100%). 6. Massive serous ascites (5000 ml)
Boumendjel, Redouane 1 05-25-2007 au07-43 Pediatric male fetus (25 weeks gestation)
DX: intrauterine fetal demise , gastroschesis

Boumendjel, Redouane 1 06-12-2007 AU07-45 Pediatric 13 y.o female
DX: Bilateral bronchopneumonia, Bilateral pleural adhesions, Down syndrome

Resident Case
Resident Name Year Date Note Patient Type
08-03-
Boumendjel, Redouane 2 IA07-23 Adult 65 y.o male
2007
DX: Cardiomegaly, Pulmonary congestion, Ascitis 1L.

08-08-
Boumendjel, Redouane 2 IA07-25 Pediatric male fetus (18 weeks gestation)
2007
DX: Intrauterine fetal demise 19wks

08-09-
2007
DX: : Intrauterine fetal demise 19 wks

08-09-
Boumendjel, Redouane 2 IA07-26 Adult 75 y.o female
2007
DX: Cirrhosis, ascitis 1.5L, nephroarteriolosclerosis

08-14-
2007
Comments: : Intrauterine fetal demise at 16 weeks gestation with Severe maceration

08-20-
2007
DX: Pulmonary edema, nephroarteriolosclerosis, hemorrhagic gastritis.

08-23-
Boumendjel, Redouane 2 IA07-29 Adult 45 y.o female
2007
DX: Myxoid liposarcoma of abdomen, and pelvis. Intraperitoneal and retroperitoneal bleeding 3000ml

Bilateral elevation of the diaphragm.
08-30-
2007
DX: Sepsis, proteus mirabilis, bilateral bronchopneumonia, biventricular cadiac failure.

09-13-
Boumendjel, Redouane 2 AU07-77 Adult 74 y.o male
2007
DX: Pleural effusions, Rectosigmoid perforation

09-20-
Boumendjel, Redouane 2 AU07-83 Pediatric 40 day old male infant
2007
DX: 40 day old male infant with Zellweger syndrome, club feet
09-27-
Boumendjel, Redouane 2 AU07-85 Pediatric male infant 4 months old
2007
DX: Premature 26 weeks, expired at 4 mos after birth with Ileostomy, liver cirrhosis.
10-03-
Boumendjel, Redouane 2 LA07-44 Adult 58 y.o male
2007
DX: Large B-cell lymphoma with mesenteric and splenic hilar masses.
Resident
DX: ALOBAR HOLOPROSENCEPHALY CLEFT LIP, LOW SET EARS.

DX: Intrauterine fetal demise 26 weeks, syndactyly of hands, low set ears, severe maceration.
Boumendjel, Redouane 2 01-02-2008 AU08-1 Pediatric male fetus ( 38 weeks gestation)
DX: Intrauterine fetal demise of a male fetus at 38 weeks, severe maceration, no gross abnormalities,

macrosomia (3800gm).
Boumendjel, Redouane 2 01-04-2008 AU08-2 Pediatric male fetus (34 weeks gestation)
DX: Intrauterine fetal demise 34 wks Twin A with moderate maceration, possible twin twin transfusion
DX: Inttrauterine fetal demise 33 wks Twin B, Mod maceration, possible twin twin transfusion
Boumendjel, Redouane 2 02-04-2008 AU08-18 Pediatric female infant 6 months old
DX: 6 mos female Down syndrome, tetralogy of fallot, pericardial effusion 30cc, pleural effusions 20cc,

ascites 300cc.
DX: 23 weeks IUFD, marked maceration, cytogenetics normal karyotype, placenta normal except for 50%

hemorrhagic cotyledons.
DX: 22 WEEKS IUFD w/ Achondrogenesis type 1 B

Boumendjel, Redouane 2 04-14-2008 LA08-16 Adult 70 y.o female
DX: Aspiration, bilateral pneumonia, severe aortic atherosclerosis, moderate CAD, ascites, pleural

effusions
DX: Acute chorioamnionitis, no gross abnormalities, severe maceration.

DX: IUFD 33 wks gestation, cardiomegaly, severe maceration. Trisomy 18 Tetralogy of Fallot

(Eizenmenger complex)
Resident
Boumendjel, Redouane 3 09-04-2008 AU08-74 Pediatric male infant 6 days old
DX: Chylothorax( 2, 3 ml), Chylopericardium (11 cc). ASD 2 mm. Secondary

Boumendjel, Redouane 3 09-12-2008 AU08-80 Adult female 77 y.o
DX: Saddle pulmonary embolus.

Boumendjel, Redouane 3 10-22-2008 IA08-30 Pediatric male infant 6 days old
DX: 6 days old born at 33wks Bronchopneumonia, Liver necrosis, Intra-abdominal hemorrhage s/p gastric

perforation, Intraparenchymal cerebral hemorrhages.
Boumendjel, Redouane 3 01-22-2009 AU09-5 Pediatric male fetus ( 37 weeks gestation)
DX: Phenotypically male stillborn fetus ( 2175 gm) born at 37 weeks gestation with: -severe maceration with

extensive calvarial bone disarticulation - Multiorgan autolysis - No gross abnormalities
Boumendjel, Redouane 3 05-25-2009 AU09-38 Adult 49 y.o Male
DX: Sepsis (pseudomonas aeruginosa), acute peritonitis, liver cirrhosis, intra-abdominal blood clots.
Boumendjel, Redouane 4 08-22-2009 AU09-62 Adult male 35 y.o
DX: Acute myocardial infarctionI of the anterior, septal and lateral walls of the left ventricle unknown etiology
Boumendjel, Redouane 4 09-02-2009 AU09-64 Adult male 74 y.o
DX: -Pancreatic neuroendocrine carcinoma metastatic to lungs, liver, left kidney and posterior mediastinum.

-Tumor extends into the mesentery, periaortic soft tissues and retroperitonel skeletal muscle.

Resident Autopsy Log 2

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Resident

Resident Name Year Date Case Note Patient Type

DX: Acute pancreatitis, bilateral pneumonia

DX: intrauterine fetal demise , gastroschesis

DX: Bilateral bronchopneumonia, Bilateral pleural adhesions, Down syndrome

DX: Cardiomegaly, Pulmonary congestion, Ascitis 1L.

DX: Intrauterine fetal demise 19wks

DX: : Intrauterine fetal demise 19 wks

DX: Cirrhosis, ascitis 1.5L, nephroarteriolosclerosis

Comments: : Intrauterine fetal demise at 16 weeks gestation with Severe maceration

DX: Pulmonary edema, nephroarteriolosclerosis, hemorrhagic gastritis.

DX: Sepsis, proteus mirabilis, bilateral bronchopneumonia, biventricular cadiac failure.

DX: Pleural effusions, Rectosigmoid perforation

DX: ALOBAR HOLOPROSENCEPHALY CLEFT LIP, LOW SET EARS.

DX: 22 WEEKS IUFD w/ Achondrogenesis type 1 B

DX: Acute chorioamnionitis, no gross abnormalities, severe maceration.

DX: Chylothorax( 2, 3 ml), Chylopericardium (11 cc). ASD 2 mm. Secondary

DX: Saddle pulmonary embolus.

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