Despite the conclusion of the two initial autopsy reports, there has been considerable scholarly debate about the cause of Napoleon's death.
Stomach cancer The original autopsy reports concluded that Napoleon died of gastric cancer associated with a perforated ulcer. A 2021 study by an international team of eight gastrointestinal pathologists again concluded that Napoleon died of stomach cancer.
Thierry Lentz and Jacques Macé, writing in 2009, considered this thesis, which corresponds to the initial report, to be the most historically credible. A study published in 2007 suggested that Napoleon died of a haemorrhage associated with a
gastric tumour. This study, however, is based on Antommarchi's report of 1825, which partly plagiarizes a medical article published in 1823 and is now considered unreliable. Nevertheless, the 2007 study concluded that clinical descriptions of Napoleon's decline (notably the loss of around ten kilos in the last six months of his life) was consistent with terminal stomach cancer and concluded this was probably caused by an ulcer of bacterial origin (
Helicobacter pylori). The international study of 2021 concluded that Golcher's thesis stood "on extremely shaky ground", as Napoleon showed many of the symptoms of gastric cancer, his health decline was consistent with cancer progression, his anaemia could have been caused by a tumour, and the macroscopic description in the two original autopsy reports is not consistent with chronic gastritis. A number of studies from 2003 to 2006, led by Pascal Kintz, President of the
Association Internationale des Toxicologues de Médecine Légale, also studied samples of Napoleon's hair and concluded that Napoleon was possibly murdered by arsenic poisoning. In 2008, the
Italian Institute of Nuclear Physics (INFN) of the
Universities of Milan and
Pavia studied hair samples conserved in Napoleonic museums in France and Italy (
Musée Glauco-Lombardide Parme, Musée Napoléonien de Rome and Musée du
Château de Malmaison). It concluded that arsenic levels in Napoleon's hair were abnormally high, but comparable to those found in the hair of his youth, and not exceptional compared to the levels found in samples from
Josephine de Beauharnais and
Napoleon II. The institute noted that the quantity of arsenic observed in these samples was a hundred times higher than the level measured today, and observed that "in the emperor and his contemporaries, you find a level of arsenic that would be considered toxic today". The authors concluded, "the concentration of the substance would not be enough to cause Napoleon's death". Subsequent studies by Golcher and others have ruled out the theory that Napoleon was killed by deliberate arsenic poisoning. The 2021 international report on Napoleon's death rejected another theory that he died of poisoning resulting from the administration of calomel two days before his death. The report notes that Napoleon was already tachycardic and the autopsy reports suggest that calomel was just a trigger for the gastric bleeding. == Commemorations ==