Virtopsy versus autopsy in unusual case of asphyxia: case report.
Identifieur interne : 000C47 ( PubMed/Corpus ); précédent : 000C46; suivant : 000C48Virtopsy versus autopsy in unusual case of asphyxia: case report.
Auteurs : I. Aquila ; C. Falcone ; C. Di Nunzio ; O. Tamburrini ; S. Boca ; P. RicciSource :
- Forensic science international [ 1872-6283 ] ; 2013.
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
Links to Exploration step
pubmed:23582265Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Virtopsy versus autopsy in unusual case of asphyxia: case report.</title><author><name sortKey="Aquila, I" sort="Aquila, I" uniqKey="Aquila I" first="I" last="Aquila">I. Aquila</name><affiliation><nlm:affiliation>Legal Medicine Institute, University Magna Graecia of Catanzaro, Viale Europa, 88100 Catanzaro, Italy. isabella.aquila@hotmail.it</nlm:affiliation></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></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:23582265</idno><idno type="pmid">23582265</idno><idno type="doi">10.1016/j.forsciint.2013.03.004</idno><idno type="wicri:Area/PubMed/Corpus">000C47</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000C47</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Virtopsy versus autopsy in unusual case of asphyxia: case report.</title><author><name sortKey="Aquila, I" sort="Aquila, I" uniqKey="Aquila I" first="I" last="Aquila">I. Aquila</name><affiliation><nlm:affiliation>Legal Medicine Institute, University Magna Graecia of Catanzaro, Viale Europa, 88100 Catanzaro, Italy. isabella.aquila@hotmail.it</nlm:affiliation></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="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="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" xml:lang="en"><term>Aged</term><term>Bread</term><term>Female</term><term>Humans</term><term>Multidetector Computed Tomography</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><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23582265</PMID><DateCompleted><Year>2014</Year><Month>02</Month><Day>25</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1872-6283</ISSN><JournalIssue CitedMedium="Internet"><Volume>229</Volume><Issue>1-3</Issue><PubDate><Year>2013</Year><Month>Jun</Month><Day>10</Day></PubDate></JournalIssue><Title>Forensic science international</Title><ISOAbbreviation>Forensic Sci. Int.</ISOAbbreviation></Journal><ArticleTitle>Virtopsy versus autopsy in unusual case of asphyxia: case report.</ArticleTitle><Pagination><MedlinePgn>e1-5</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.forsciint.2013.03.004</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0379-0738(13)00138-2</ELocationID><Abstract><AbstractText>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.</AbstractText><CopyrightInformation>Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Aquila</LastName><ForeName>I</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Legal Medicine Institute, University Magna Graecia of Catanzaro, Viale Europa, 88100 Catanzaro, Italy. isabella.aquila@hotmail.it</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Falcone</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Di Nunzio</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Tamburrini</LastName><ForeName>O</ForeName><Initials>O</Initials></Author><Author ValidYN="Y"><LastName>Boca</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Ricci</LastName><ForeName>P</ForeName><Initials>P</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>04</Month><Day>09</Day></ArticleDate></Article><MedlineJournalInfo><Country>Ireland</Country><MedlineTA>Forensic Sci Int</MedlineTA><NlmUniqueID>7902034</NlmUniqueID><ISSNLinking>0379-0738</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000402" MajorTopicYN="N">Airway Obstruction</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001237" MajorTopicYN="N">Asphyxia</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001344" MajorTopicYN="N">Autopsy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001939" MajorTopicYN="N">Bread</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004947" MajorTopicYN="N">Esophagus</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005547" MajorTopicYN="N">Foreign Bodies</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061330" MajorTopicYN="N">Multidetector Computed Tomography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010510" MajorTopicYN="N">Periodontal Diseases</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014132" MajorTopicYN="N">Trachea</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2011</Year><Month>12</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2012</Year><Month>06</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>03</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>4</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>4</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>2</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23582265</ArticleId><ArticleId IdType="pii">S0379-0738(13)00138-2</ArticleId><ArticleId IdType="doi">10.1016/j.forsciint.2013.03.004</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/PubMed/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000C47 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PubMed/Corpus/biblio.hfd -nk 000C47 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= PubMed
|étape= Corpus
|type= RBID
|clé= pubmed:23582265
|texte= Virtopsy versus autopsy in unusual case of asphyxia: case report.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Corpus/RBID.i -Sk "pubmed:23582265" \
| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a EdenteV2
| This area was generated with Dilib version V0.6.32. |  |