Histopathology of Selected Trauma

Dettmeyer, R.

doi:10.1007/978-3-319-77997-3_3

Cited by 2 publications

(2 citation statements)

References 163 publications

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“…In addition, anemic and normally perfused areas alternate in the lungs while the alveolo-capillary membrane is damaged. The intensity of this injury is proportional to the duration of the drowning process [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

Macromorphological findings in cases of death in water: a critical view on “drowning signs”

2020

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Death in water is a challenging issue in forensic pathology since from natural death to homicide all circumstances of death in water are conceivable. Therefore, the correct interpretation of all abnormal autopsy findings is important. In order to determine a death by drowning, numerous internal and external signs of drowning are already described. However, these are supposed to be influenced by various factors reducing their significance and evidence. Moreover, the autopsy of water corpses often reveals further pathological findings that should not be underestimated for determining the cause of death. The aim of this study was to set frequencies of the observed drowning signs in context to the forensic literature and to identify possible influencing factors. In this study, we observed that pathological organ changes of the cardiovascular system were significantly more common in corpses after shortened (atypical) drowning processes than in classical drowned victims. Furthermore only a complete formation of external foam, immediately after the corpse’s recovery, was exclusively found in drowning victims. All other drowning signs were either also observed in non-drowning deaths in water or no information could be provided with reasonable assurance. In addition, many of the examined drowning signs were negatively affected by prolonged postmortem intervals, putrefaction, or resuscitation attempts. It can be concluded from our analysis that morbidity is an important factor in deaths in water. Morbidity can support a death by drowning in case of incidents in water. For the examined drowning signs, no high diagnostic certainty could be observed. Nevertheless, these findings can increase their diagnostic value—if forensic physicians take influencing factors into consideration.

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Section: Introductionmentioning

confidence: 99%

Macromorphological findings in cases of death in water: a critical view on “drowning signs”

2020

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“…Based on external (massive congestion and oedema of the face, cyanosis of the hands) and internal findings (acute emphysema, oedema and vascular congestion of the lungs), death was attributed to asphyxia [ 6 – 8 ]. The body temperature, fixation of hypostases and rigor mortis placed the time of death beyond 24 h before the discovery of the body.…”

Section: Discussionmentioning

confidence: 99%

Entrapment within an ottoman storage bed: an unusual accidental asphyxial death

Cinquetti

Franchetti

Fichera

et al. 2022

Forensic Sci Med Pathol

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Herein, we present an uncommon forensic case of death by asphyxia. The victim was a woman whose body at death scene investigation (DSI) was discovered beside an ottoman storage bed. According to the rescue team, who had moved the body before our arrival, the body was originally found in the prone position and stuck with the neck, thorax and arms within the bed. Examination of the body showed hypostasis that was mainly distributed to the face and the lower chest while sparing the neck and the upper chest. The face was markedly swollen, and the eyes were congested with blood. Dissection and histology revealed pulmonary oedema and emphysema of both lungs. Integrating circumstantial, radiology and autopsy data, it was established that the victim, while trapped between the mattress and the edge of the ottoman storage bed, died by mechanical asphyxia due to cervical-thoracic compression and postural asphyxia acting simultaneously.

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Histopathology of Selected Trauma

Cited by 2 publications

References 163 publications

Macromorphological findings in cases of death in water: a critical view on “drowning signs”

Macromorphological findings in cases of death in water: a critical view on “drowning signs”

Entrapment within an ottoman storage bed: an unusual accidental asphyxial death

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