Virtopsy versus autopsy in unusual case of asphyxia: case report.
Identifieur interne : 002109 ( Main/Merge ); précédent : 002108; suivant : 002110Virtopsy versus autopsy in unusual case of asphyxia: case report.
Auteurs : I. Aquila [Italie] ; C. Falcone ; C. Di Nunzio ; O. Tamburrini ; S. Boca ; P. RicciSource :
- Forensic science international [ 1872-6283 ] ; 2013.
Descripteurs français
- KwdFr :
- Asphyxie (étiologie), Autopsie (), Corps étrangers (anatomopathologie), Corps étrangers (imagerie diagnostique), Femelle, Humains, Maladies parodontales (), Mâchoire partiellement édentée (), Obstruction des voies aériennes (anatomopathologie), Obstruction des voies aériennes (imagerie diagnostique), Obstruction des voies aériennes (étiologie), Oesophage (anatomopathologie), Pain, Sujet âgé, Tomodensitométrie multidétecteurs, Trachée (anatomopathologie).
- MESH :
- anatomopathologie : Corps étrangers, Obstruction des voies aériennes, Oesophage, Trachée.
- imagerie diagnostique : Corps étrangers, Obstruction des voies aériennes.
- étiologie : Asphyxie, Obstruction des voies aériennes.
- Autopsie, Femelle, Humains, Maladies parodontales, Mâchoire partiellement édentée, Pain, Sujet âgé, Tomodensitométrie multidétecteurs.
English descriptors
- KwdEn :
- Aged, Airway Obstruction (diagnostic imaging), Airway Obstruction (etiology), Airway Obstruction (pathology), Asphyxia (etiology), Autopsy (methods), Bread, Esophagus (pathology), Female, Foreign Bodies (diagnostic imaging), Foreign Bodies (pathology), Humans, Jaw, Edentulous, Partially (complications), Multidetector Computed Tomography, Periodontal Diseases (complications), Trachea (pathology).
- MESH :
- complications : Jaw, Edentulous, Partially, Periodontal Diseases.
- diagnostic imaging : Airway Obstruction, Foreign Bodies.
- etiology : Airway Obstruction, Asphyxia.
- methods : Autopsy.
- pathology : Airway Obstruction, Esophagus, Foreign Bodies, Trachea.
- Aged, Bread, Female, Humans, Multidetector Computed Tomography.
Abstract
We report the case of a 70-year-old woman found dead in her apartment in the South of Italy in February 2011. The detailed data showed that the victim was affected by familiar-type paranoid schizophrenia. This finding was confirmed by the discovery of antipsychotic and tricyclic antidepressant drugs in the house and the deposition of her psychiatric therapist. Before the autopsy, a multislice computed tomography (MSCT) scanning of the thoracic and facial maxillo-cervical area was performed that has allowed anatomical identification and diagnosis of a mechanical obstruction as the cause of death. The autopsy has showed the presence of materials obstructing the trachea totally. Histological and toxicological investigations were carried out on the victim. The toxicological investigation has shown the presence of metabolites of tricyclic antidepressants and antipsychotics in the blood and urine. The histology showed the presence of foreign-origin materials (starch fibres) inside the pulmonary alveolus. The cause of death was asphyxia due to obstruction by food-origin material. In this case the radiological data have been compared with the autopsy and toxicological and histological data. The comparison of results has shown that MSCT scanning may aid in identification of occlusion and then in determination of the cause of death. In conclusion, MSCT scanning can be proposed in the cases of suspected asphyxia, as the screening procedure of first instance to produce preliminary information useful to rapidly develop the successive autopsy performance.
DOI: 10.1016/j.forsciint.2013.03.004
PubMed: 23582265
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Di Nunzio</name></author><author><name sortKey="Tamburrini, O" sort="Tamburrini, O" uniqKey="Tamburrini O" first="O" last="Tamburrini">O. Tamburrini</name></author><author><name sortKey="Boca, S" sort="Boca, S" uniqKey="Boca S" first="S" last="Boca">S. Boca</name></author><author><name sortKey="Ricci, P" sort="Ricci, P" uniqKey="Ricci P" first="P" last="Ricci">P. 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Aquila</name><affiliation wicri:level="1"><nlm:affiliation>Legal Medicine Institute, University Magna Graecia of Catanzaro, Viale Europa, 88100 Catanzaro, Italy. isabella.aquila@hotmail.it</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Legal Medicine Institute, University Magna Graecia of Catanzaro, Viale Europa, 88100 Catanzaro</wicri:regionArea><wicri:noRegion>88100 Catanzaro</wicri:noRegion></affiliation></author><author><name sortKey="Falcone, C" sort="Falcone, C" uniqKey="Falcone C" first="C" last="Falcone">C. Falcone</name></author><author><name sortKey="Di Nunzio, C" sort="Di Nunzio, C" uniqKey="Di Nunzio C" first="C" last="Di Nunzio">C. Di Nunzio</name></author><author><name sortKey="Tamburrini, O" sort="Tamburrini, O" uniqKey="Tamburrini O" first="O" last="Tamburrini">O. Tamburrini</name></author><author><name sortKey="Boca, S" sort="Boca, S" uniqKey="Boca S" first="S" last="Boca">S. Boca</name></author><author><name sortKey="Ricci, P" sort="Ricci, P" uniqKey="Ricci P" first="P" last="Ricci">P. Ricci</name></author></analytic><series><title level="j">Forensic science international</title><idno type="eISSN">1872-6283</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Airway Obstruction (diagnostic imaging)</term><term>Airway Obstruction (etiology)</term><term>Airway Obstruction (pathology)</term><term>Asphyxia (etiology)</term><term>Autopsy (methods)</term><term>Bread</term><term>Esophagus (pathology)</term><term>Female</term><term>Foreign Bodies (diagnostic imaging)</term><term>Foreign Bodies (pathology)</term><term>Humans</term><term>Jaw, Edentulous, Partially (complications)</term><term>Multidetector Computed Tomography</term><term>Periodontal Diseases (complications)</term><term>Trachea (pathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Asphyxie (étiologie)</term><term>Autopsie ()</term><term>Corps étrangers (anatomopathologie)</term><term>Corps étrangers (imagerie diagnostique)</term><term>Femelle</term><term>Humains</term><term>Maladies parodontales ()</term><term>Mâchoire partiellement édentée ()</term><term>Obstruction des voies aériennes (anatomopathologie)</term><term>Obstruction des voies aériennes (imagerie diagnostique)</term><term>Obstruction des voies aériennes (étiologie)</term><term>Oesophage (anatomopathologie)</term><term>Pain</term><term>Sujet âgé</term><term>Tomodensitométrie multidétecteurs</term><term>Trachée (anatomopathologie)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Corps étrangers</term><term>Obstruction des voies aériennes</term><term>Oesophage</term><term>Trachée</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Periodontal Diseases</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Airway Obstruction</term><term>Foreign Bodies</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Airway Obstruction</term><term>Asphyxia</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Corps étrangers</term><term>Obstruction des voies aériennes</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Autopsy</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Airway Obstruction</term><term>Esophagus</term><term>Foreign Bodies</term><term>Trachea</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Asphyxie</term><term>Obstruction des voies aériennes</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Bread</term><term>Female</term><term>Humans</term><term>Multidetector Computed Tomography</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Autopsie</term><term>Femelle</term><term>Humains</term><term>Maladies parodontales</term><term>Mâchoire partiellement édentée</term><term>Pain</term><term>Sujet âgé</term><term>Tomodensitométrie multidétecteurs</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We report the case of a 70-year-old woman found dead in her apartment in the South of Italy in February 2011. The detailed data showed that the victim was affected by familiar-type paranoid schizophrenia. This finding was confirmed by the discovery of antipsychotic and tricyclic antidepressant drugs in the house and the deposition of her psychiatric therapist. Before the autopsy, a multislice computed tomography (MSCT) scanning of the thoracic and facial maxillo-cervical area was performed that has allowed anatomical identification and diagnosis of a mechanical obstruction as the cause of death. The autopsy has showed the presence of materials obstructing the trachea totally. Histological and toxicological investigations were carried out on the victim. The toxicological investigation has shown the presence of metabolites of tricyclic antidepressants and antipsychotics in the blood and urine. The histology showed the presence of foreign-origin materials (starch fibres) inside the pulmonary alveolus. The cause of death was asphyxia due to obstruction by food-origin material. In this case the radiological data have been compared with the autopsy and toxicological and histological data. The comparison of results has shown that MSCT scanning may aid in identification of occlusion and then in determination of the cause of death. In conclusion, MSCT scanning can be proposed in the cases of suspected asphyxia, as the screening procedure of first instance to produce preliminary information useful to rapidly develop the successive autopsy performance.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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