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Complete rupture of the healthy aorta without external signs of the cause of death is of sufficient rarity to warrant the publication of a synopsis of necropsy which I made recently.
A laborer, aged about 40 years, was struck by a large mass of falling earth which gave him a glancing blow on the back and knocked him down, though it covered only his legs. A few seconds later he was picked up dead, and was seen by a medical man in a few minutes who could find no cause externally for the sudden death. I examined the body a few hours later but saw no apparent cause of death. There was a large scalp wound on the forehead down to the bone, but the frontal bone was not fractured. The mouth, nose and ears were free from blood or foreign matter. There was a little frothy mucus in the
Gordon Grote Copeland. TRAUMATIC RUPTURE OF THE HEALTHY AORTA WITHOUT EXTERNAL SIGNS OF THE CAUSE OF DEATH. JAMA. 1914;LXIII(22):1950–1951. doi:10.1001/jama.1914.02570220060019