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<p>The external post-mortem examination is a&#xa0;central but error-prone instrument for determining the cause of death. Based on two cases, it is shown that deaths initially classified as natural, with presumed esophageal variceal bleeding, were identified as nonnatural (suspected suicide) during the second post-mortem examination. Both initial assessments were based on medical misjudgements despite obvious findings. The results highlight the need for qualified training, an open culture of error reporting and mandatory feedback in cases of misjudgement. Furthermore, the importance of the second post-mortem examination prior to cremation for ensuring legal and diagnostic accuracy is emphasized.</p>

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Fehldiagnostizierte Ösophagusvarizenblutungen: die zweite Leichenschau als unverzichtbares Korrektiv

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月3日

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  • Ann Sophie Schröder,
  • Benjamin Ondruschka,
  • Anke Klein

摘要

The external post-mortem examination is a central but error-prone instrument for determining the cause of death. Based on two cases, it is shown that deaths initially classified as natural, with presumed esophageal variceal bleeding, were identified as nonnatural (suspected suicide) during the second post-mortem examination. Both initial assessments were based on medical misjudgements despite obvious findings. The results highlight the need for qualified training, an open culture of error reporting and mandatory feedback in cases of misjudgement. Furthermore, the importance of the second post-mortem examination prior to cremation for ensuring legal and diagnostic accuracy is emphasized.