Placenta percreta in primigravida with unscarred uterus complicated by uterine rupture and sudden maternal and fetal death: an autopsy case report
AbstractPlacenta percreta is a rare, aggressive, and severe form of the placenta accreta spectrum. One of its most devastating effects is the sudden rupture of uterus. Uterine scarring is the leading risk factor for uterine rupture, although it can also happen, but rarely, in an unscarred uterus showing more severe repercussions. The present study reported a case of an Egyptian primigravida female, aged 29 years old, at 32 weeks of gestation who died suddenly due to uterine rupture complicating placenta percreta, the diagnosis of which was first settled during autopsy. There was no history of abdominal trauma. No medical h...
Source: Forensic Science, Medicine, and Pathology - August 26, 2023 Category: Forensic Medicine Source Type: research

Postoperative rhabdomyolysis following otoplasty: an autopsy case report
In this report, we present a case study of a male patient in his forties who underwent otoplasty for ear reconstruction after the amputation of his right ear due to a physical assault. The surgery lasted for 8 h under general anesthesia, and unfortunately, the patient developed postoperative rhabdomyolysis, which resulted in severe renal failure and ultimately an unrecoverable cardiac arrest, leading to his death. The autopsy findings indicated no identifiable lesions except for organ congestion, while histopathology revealed acute tubular necrosis of the kidney and muscle rhabdomyolysis. Previous literature has explored t...
Source: Forensic Science, Medicine, and Pathology - August 25, 2023 Category: Forensic Medicine Source Type: research

Lateralized hypostasis of the head on post mortem CT (PMCT) scanning of decomposed bodies —a marker for terminal position
AbstractPost-mortem CT (PMCT) scanning was performed on the bodies of two decomposed adult males who had died of natural causes. The bodies both showed changes of marked decomposition with a prominent swelling of tissues on one side of the head compared to the other. A review of police statements confirmed that this matched the positions of the bodies when they were found. Thus, post-mortem hypostasis of putrefactive fluids correlated in both cases with the positions that the bodies had been in when first located. This may be a simple way of identifying or confirming the positions of decomposed bodies after death. It may a...
Source: Forensic Science, Medicine, and Pathology - August 25, 2023 Category: Forensic Medicine Source Type: research

Postoperative rhabdomyolysis following otoplasty: an autopsy case report
In this report, we present a case study of a male patient in his forties who underwent otoplasty for ear reconstruction after the amputation of his right ear due to a physical assault. The surgery lasted for 8 h under general anesthesia, and unfortunately, the patient developed postoperative rhabdomyolysis, which resulted in severe renal failure and ultimately an unrecoverable cardiac arrest, leading to his death. The autopsy findings indicated no identifiable lesions except for organ congestion, while histopathology revealed acute tubular necrosis of the kidney and muscle rhabdomyolysis. Previous literature has explored t...
Source: Forensic Science, Medicine, and Pathology - August 25, 2023 Category: Forensic Medicine Source Type: research

Lateralized hypostasis of the head on post mortem CT (PMCT) scanning of decomposed bodies —a marker for terminal position
AbstractPost-mortem CT (PMCT) scanning was performed on the bodies of two decomposed adult males who had died of natural causes. The bodies both showed changes of marked decomposition with a prominent swelling of tissues on one side of the head compared to the other. A review of police statements confirmed that this matched the positions of the bodies when they were found. Thus, post-mortem hypostasis of putrefactive fluids correlated in both cases with the positions that the bodies had been in when first located. This may be a simple way of identifying or confirming the positions of decomposed bodies after death. It may a...
Source: Forensic Science, Medicine, and Pathology - August 25, 2023 Category: Forensic Medicine Source Type: research

Authors reply to Dr. Jakobsen comment on: “Bone marrow embolism: should it result from traumatic bone lesions? A histopathological human autopsy study”
(Source: Forensic Science, Medicine, and Pathology)
Source: Forensic Science, Medicine, and Pathology - August 23, 2023 Category: Forensic Medicine Source Type: research

Quid Pro Quo Doctor, I tell you things, you tell me things: ChatGPT ’s thoughts on a killer
(Source: Forensic Science, Medicine, and Pathology)
Source: Forensic Science, Medicine, and Pathology - August 18, 2023 Category: Forensic Medicine Source Type: research

A spit in time: identification of saliva stains and assessment of total DNA recovery up to 180 days after deposition
AbstractThe main aim of this work was to validate the detection of saliva samples from denim, cotton, and polyester fabrics aged up to six months, applying rapid immunochromatographic tests resulting in the analysis of nuclear and mitochondrial DNA recovered. A comparison was also carried out between two saliva detection tests, Laboratory and Crime Scene. 50 μl saliva samples (three per time and test) were deposited on denim, cotton, and polyester fabrics. After 1, 3, 7, 14, 21, 30, 60, 90, 150, and 180 days of storage at room temperature, the samples were recovered by swabbing and detected by SERATEC® Amylase (Laborator...
Source: Forensic Science, Medicine, and Pathology - August 15, 2023 Category: Forensic Medicine Source Type: research

Fatal iatrogenous neonatal massive air embolism with diffuse emphysema, pneumothorax, pneumomediastinum and pneumoperitoneum
ConclusionFor a forensic-clinical discussion, I consider this rare presentation of a massive lethal air plurifocal embolism to be a necessary contribution to the understanding of professional, educational and organizational communication failure. Alveolar overdistension with hyperinflation of oxygen led to imposibility of spontaneous and assisted ventilation, massive air embolism and consequent complications that led to death without response to resuscitation measures. (Source: Forensic Science, Medicine, and Pathology)
Source: Forensic Science, Medicine, and Pathology - August 14, 2023 Category: Forensic Medicine Source Type: research

Gabapentinoid detection in coronial casework in Gold Coast, Australia: a 5-year retrospective study
AbstractGabapentinoids is a class of drug with analgesic, anxiolytic, and anticonvulsant properties and has a reported increase in prescription, use, and adverse outcomes. Regional studies are scant, and postmortem toxicological data may characterise patterns of regional use and inform local interventions. Characterising drug and non-drug-related deaths with gabapentinoid detection may also aid in toxicology interpretation.  A 5-year retrospective study on all deaths admitted to the Gold Coast University Hospital under where toxicological analysis was performed. Of the gabapentinoids, only pregabalin was detected over the...
Source: Forensic Science, Medicine, and Pathology - August 14, 2023 Category: Forensic Medicine Source Type: research