Illustrated Forensic Pathology: Fatal Waterhouse-Friderichsen Syndrome
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: New Feature - Illustrated Forensic Pathology Source Type: research

Sudden Death Associated With Esophageal Food Bolus Impaction
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: New Feature - Illustrated Forensic Pathology Source Type: research

An Inflamed, Giant, True, Extramural Duodenal Diverticulum: A Rare Autopsy Finding
A 53-year-old man was found to have a giant 16 × 6-cm hemorrhagic and cystic mass centered on the pancreas and duodenum. Initially diagnosed as a pancreatic pseudocyst at the time of autopsy, the cystic mass was later determined by histologic examination to be a true diverticulum of the duodenum as microscopic examination of the wall revealed 2 layers of muscle, as well as a neutrophilic infiltrate. While the cause of death of the individual was certified as methamphetamine toxicity, cardiomegaly and probable dehydration associated with a giant duodenal diverticulum were listed as contributory conditions. While duode...
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: New Feature - Illustrated Forensic Pathology Source Type: research

Reliable Postmortem Computed Tomography Scan Diagnosis of COVID-19 Pneumonia
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Letters to the Editor Source Type: research

Cadaveric Nasopharyngeal Swab in Coronavirus Disease 2019 Infections: Can it be Useful for Medico-Legal Purposes?
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Letters to the Editor Source Type: research

Trainees and COVID-19: A Call to Arms
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Letters to the Editor Source Type: research

Traumatic Decapitation of the Fetus During Birth: Criminalistic and Forensic Aspects
We report an unusual case of intrapartum complete fetal decapitation. The labor was complicated by shoulder dystocia, with resultant repeated mechanical trauma to the fetal neck and, finally, decapitation. The tragic results of biological processes in human organisms do not automatically confirm medical malpractice. However, there may be grave ethical and forensic outcomes. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Case Reports Source Type: research

An Unusual Cervical Injury Caused by Accidental Electrical Burns
High-voltage electrocution is mostly unintentional, and it is associated with significant morbidity and mortality due to severe tissue damages. The present report describes an atypical electrocution with multiple victims and a fatal outcome of a 48-year-old man due to unusual neck injuries caused by accidental electrical burns. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Case Reports Source Type: research

Niemann-Pick Disease Type B in Traumatic Splenic Rupture
The rupture of spleen is common in clinical and forensic practice. Trauma is the most common cause of splenic rupture. Although rare, traumatic splenic rupture may occur in these individuals with asymptomatic underlying disease, and clinical and forensic pathologists may neglect the disease and diagnose only the traumatic splenic rupture. Here, we present a case of postinjury splenic rupture resulting in splenectomy, where the patient was diagnosed with Niemann-Pick disease type B through histopathological examination and genetic testing. In forensic practice, in cases of isolation splenic rupture, full microscopy should b...
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Case Reports Source Type: research

An Unusual Method of Suicide: Cable Ties
Suicidal ligature strangulation is a relatively rare event—far more common is suicide by hanging or homicidal ligature strangulation. With the increasing rate of suicide in the United States, use of atypical ligatures is likely to increase as well. Herein, we present such a rare case, a man who died by tightening cable ties around his own neck, and discuss the necessity of full scene and autopsy investigation to ensure proper certification of manner of death. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Case Reports Source Type: research

An Illustrative Case of Suicidal Hanging Versus Accidental Hanging Associated With Autoerotic Activity: Necessary Medicolegal Death Investigation and Role of Cognitive Bias
The majority of hanging deaths are relatively straightforward when opining the manner of death, typically determined to be suicide. However, there are rare hanging deaths that require the forensic pathologist to seek additional information. Forensic pathologists commonly consider an accidental manner of death when the hanging death scene includes evidence of solitary sexual activity consistent with autoerotic asphyxia. Here, the authors present a case of an initially apparent suicidal hanging where important death scene details photographed by the medical examiner investigator and history provided by family members during ...
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Case Reports Source Type: research

Postmortem Otorrhagia in Positional Asphyxia
Otorrhagia is generally associated with basilar skull fractures or diving accidents. In routine forensic medical practice, an accurate knowledge of the etiology of otorrhagia may have a key role to distinguish between traumatic and atraumatic causes and accidental, homicidal, or suicidal manners. The authors present the case of an unusual cause of atraumatic otorrhagia occurred in an elderly farmer found dead in a barn. He remained entrapped in a narrow tunnel created by some hay bales. The autopsy findings revealed only an intense polyvisceral congestion and subpleural petechiae, with no signs of traumatic injuries and no...
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Case Reports Source Type: research

Fatal Intracerebral Hemorrhage During “Muay Thai” in a 21-Year-Old Man With Undiagnosed Acute Myeloid Leukemia: Spontaneous or Posttraumatic Hemorrhage?
Acute myeloid leukemia (AML) is characterized by the rapid growth of abnormal white blood cells in the bone marrow that interferes with the production of normal blood cells. This disease is burdened by a high risk of bleeding complications involving central nervous system hemorrhages, purpura, gingival bleeding, and gastrointestinal bleeding. In this article, the authors report a case of a fatal intracerebral hemorrhage in a 21-year-old man who was affected by an undiagnosed AML. The subject practiced a combat sport (Muay Thai), and 2 days before his last training, he was involved in a fight where the aggressor punched him...
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Case Reports Source Type: research

Traumatic Axonal Injury: A Case Report
A 17-year-old prisoner was found unconscious during a morning check. The previous night, he had been struck on the chin multiple times by one of the other inmates. The patient remained unconscious and eventually died after nearly 1.5 months of care. The primary task of the forensic pathological examination was to investigate the events leading to his death; therefore, it was necessary to examine whether there was a connection between the abuse and eventual death. In our case, the key element was the repetitive, mild-to-moderate force in abuse, resulting in grade I traumatic diffuse axonal damage. Due to progressive brain e...
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Case Reports Source Type: research

Loperamide Abuse and Its Sequelae
Discussion Because of reduced central nervous system activity and associated euphoria at therapeutic doses, loperamide abuse is rarely reported. This case demonstrates that an overdose on loperamide can occur in patients seeking symptom alleviation, and may mimic the presentation of opioid overdose. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Case Reports Source Type: research

The Diagnosis of a Case of Household Cleaner Fatality
In this report, we are discussing a case of fatal ingestion of household cleaner, which was stored in an unlabeled bottle. The deceased developed features of gastrointestinal irritation, such as vomiting and pain in throat and abdomen. He also had features of aspiration such as cough and chest crepitation. Finally, he developed metabolic acidosis, gastric perforation, respiratory failure, and died within a day. The autopsy features such as teeth discoloration, corrosion of mouth and lips, and histopathological findings helped us in concluding that the ingredients contained some corrosive mineral acid. This case highlights ...
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Case Reports Source Type: research

Sudden Death Due to Neck Paraganglioma: A Pediatric Case Report and Review of the Literature
Neck paragangliomas are relatively rare neuroendocrine nonsecretory tumors. They are mainly observed among adults and are often asymptomatic, causing a frequent delay in diagnosis. In pediatric cases, neck paragangliomas can be associated with adrenergic symptoms that may lead to complications. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Case Reports Source Type: research

Evaluation of Antegonial Angle and Antegonial Depth to Estimate Sex in a Prepubertal Turkish Population
This retrospective study aimed to measure the antegonial angle (AGA) and antegonial depth (AGD) on panoramic radiographs in a Turkish subpopulation and to determine how those measurements relate to sex before puberty. A total of 600 patients were divided into 3 age groups (5, 6, or 7 years), and each group consists of 100 boys and 100 girls. For each patient, AGA and AGD indices in panoramic radiograph were measured by an oral radiologist and pediatric dentist. To our knowledge, this is the first study measuring AGA and AGD parameters on prepubertal subjects and identifying sex differences in these parameters. The data wer...
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Age Estimation of Teenage Boys During Puberty
Conclusions Our method of age estimation is simpler and accurate. It could be used routinely in a forensic frame to respond to judicial requests. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Can Bone-Specific Alkaline Phosphatase and Osteocalcine Levels Be Used to Determine the Age in Children?
Conclusions This study provides sex- and age-dependent cutoff values for ALP and BALP for the girl, which may be useful for age determination. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Microcrystalline Cellulose and Crospovidone Identified in Placentas With Vaginal Misoprostol Use
Misoprostol is a prostaglandin analog commonly used to induce termination of pregnancy. Clandestine home terminations complicate forensic fetal autopsy when a history of misoprostol use is withheld and the gross and histologic findings are sparse, as is often the case. One hundred thirty-two placentas with no vaginal misoprostol use, low-dose misoprostol use, and high-dose misoprostol use were reviewed for the presence, volume, and locations of microcrystalline cellulose and crospovidone, common tablet fillers in misoprostol tablets. Microcrystalline cellulose and/or crospovidone was identified in 0 (0%) of 88 cases with n...
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Head and Brain Postmortem Computed Tomography—Autopsy Correlation in Hospital Deaths
The use of postmortem computed tomography (PMCT) to support autopsy pathology has increased in recent decades. To some extent, PMCT has also been contemplated as a potential alternative to conventional postmortem examination. The purpose of this study was to investigate the ability of PMCT to detect specific pathologic findings in the head and brain in natural hospital deaths. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Improving Contagious Disease Reporting in a Medical Examiner's Office
Contagious disease reporting is an important mechanism for public health officials to be informed of emerging and ongoing risks to the community's health. There are several mechanisms for reporting, including automated reporting from computer sources, required reporting from physicians and other health care professionals, and reporting of sales of certain over-the-counter medications such as cold remedies. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Position Paper: Recommendations for the Investigation, Diagnosis, and Certification of Deaths Related to Opioid and Other Drugs
The National Association of Medical Examiners convened an expert panel to update the association's evidence-based recommendations for investigating and certifying deaths associated with opioids and other misused substances to improve death certificate and mortality data for public health surveillance. The recommendations are as follows: (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Review Articles Source Type: research

COVID-19: Postmortem Diagnostic and Biosafety Considerations
As a result of the 2019 novel human coronavirus (COVID-19) global spread, medical examiner/coroner offices will inevitably encounter increased numbers of COVID-19–infected decedents at autopsy. While in some cases a history of fever and/or respiratory distress (eg, cough or shortness of breath) may suggest the diagnosis, epidemiologic studies indicate that the majority of individuals infected with COVID-19 develop mild to no symptoms. Those dying with—but not of—COVID-19 may still be infectious, however. While multiple guidelines have been issued regarding autopsy protocol in cases of suspected COVID-19 d...
Source: The American Journal of Forensic Medicine and Pathology - August 14, 2020 Category: Forensic Medicine Tags: Review Articles Source Type: research

Sudden Infant Death Syndrome
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - May 8, 2020 Category: Forensic Medicine Tags: Letter to the Editor Source Type: research

Spontaneous Rupture of a Hepatic Cavernous Hemangioma: A Rare Case of Sudden Unexpected Death
We report a rare case of sudden unexpected death of a 46-year-old woman due to a spontaneous rupture of a giant hepatic cavernous hemangioma discovered at autopsy. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - May 8, 2020 Category: Forensic Medicine Tags: Case Reports Source Type: research

Dislocation of Internal Organs of the Neck and Trunk Into Crush Injuries of the Head: Case Report on a Truck-to-Pedestrian Accident
This report, due to its unusual character, may be useful during detailed analysis of potential injury mechanisms in traffic accidents involving pedestrians. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - May 8, 2020 Category: Forensic Medicine Tags: Case Reports Source Type: research

Nontraumatic Multiple-Organ Fat Embolism: An Autopsy Case and Review of Literature
The patient was an 88-year-old woman with a 10-year history of hypertension. She was suspected to have been hit by a car. At the time of the event, she was conscious and able to stand on her own and had no obvious injuries. She was sent home, but she lapsed into unconsciousness and was nonresponsive after 2 hours. She was sent to the hospital, and her heartbeat and breathing stopped. After half an hour of rescue attempts, her heartbeat did not recover, and she was declared dead. During the autopsy, a small subcutaneous hemorrhage was observed below the right knee joint. No obvious internal organ injuries or bone fractures ...
Source: The American Journal of Forensic Medicine and Pathology - May 8, 2020 Category: Forensic Medicine Tags: Case Reports Source Type: research

Sudden Death Due to a Cerebellopontine Angle Epidermoid Cyst: Case Report
Epidermoid cyst of the brain is a rare benign embryonal tumor. It has an excellent prognosis because of its slow-growing nature. Clinically, symptoms are variable and depend on the location of the cyst. Sudden death may occur as a result of lethal complications because of the tumor growth, but it is still rare. In this article, we present a rare case of sudden unexpected death of a 58-year-old man, with no neurologic history, due to an epidermoid cyst of the brain diagnosed at autopsy. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - May 8, 2020 Category: Forensic Medicine Tags: Case Reports Source Type: research

Committing Suicide With Handgun Wounds in the Head Using a Defective Firearm: About 2 Unusual Autopsy Cases
We report 2 unusual autopsy cases with head handgun wounds using defective firearms in a suicidal context. In the first case, a 78-year-old man was found hanged from a tree, with a Lefaucheux revolver lying on the tree. In the right temporal region, there was an entrance wound with a bullet still in place, responsible for a mild cerebral contusion, without bone defect. The main cause of death was hanging. In the second case, a 60-year-old man died at home after shooting himself in the head several times with a 22-long rifle revolver. The autopsy showed 13 entrance wounds on the scalp. Most of the bullets remained along the...
Source: The American Journal of Forensic Medicine and Pathology - May 8, 2020 Category: Forensic Medicine Tags: Case Reports Source Type: research

Postmortem Computed Tomography and Magnetic Resonance Imaging of an Abdominal Gunshot Wound
The use of postmortem computed tomography (CT) has been described in many articles concerning gunshot injuries. Postmortem magnetic resonance imaging (MRI) for better assessment of soft tissue injuries has also been mentioned in the literature, albeit much less often. The use of postmortem MRI for abdominal gunshot wounds has not been previously presented in the literature. The present case report describes the findings of an abdominal gunshot wound detected by postmortem CT and MRI, followed by an autopsy. The main imaging findings on CT were a hyperdense ring at the entrance wound, which indicated the muzzle imprint mark...
Source: The American Journal of Forensic Medicine and Pathology - May 8, 2020 Category: Forensic Medicine Tags: Case Reports Source Type: research

Estimation of Age Using Third Molar Development: A Radiological Cross-Sectional Study
Conclusions Our study showed that between the sexes in maxilla, men reached stages A to E earlier than women, whereas for stages F to H, women reached the stage earlier than men. For mandible, all stages except stage D were reached earlier by male subjects than female subjects. Our study showed that the third molar development can be affected positively by the chronological age of the patient, being developed either in maxilla or mandible, right or left side. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - May 8, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Establishment of Reference Ranges for Normal Organ Weights in Malaysian Adults at Autopsy
In this study, reference ranges for organ weights are presented for Malaysian adult men and women. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - May 8, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

The Diagnostic Value of the Changes in the Renal Glomerulus in the Postmortem Diagnosis of Freshwater Drownings
This study aims to present an additional diagnostic sign in cases of freshwater drowning by investigating the histopathological changes of renal tissue in the postmortem diagnosis of freshwater drowning. For this purpose, 103 cases were investigated in which the causes of death were freshwater drowning (n = 45), traffic accidents (n = 33) and acute myocardial infarction (n = 25). Renal corpuscular structures of selected cases were examined stereologically and histopathologically. Renal corpuscle diameter, renal corpuscle surface area, glomerular tuft surface area, and Bowman space were calculated by stereological method. W...
Source: The American Journal of Forensic Medicine and Pathology - May 8, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Postmortem Magnetic Resonance Imaging and Postmortem Computed Tomography in Ligature and Manual Strangulation
Conclusions As MRI showed a successful detection of soft tissue lesions in relation to strangulation, it can serve as an alternative method or provide additional value to an autopsy. Intramuscular hemorrhages are a common finding in manual and ligature strangulation, providing a useful sign of applied pressure on the neck. However, to evaluate fractures, an additional CT or autopsy is recommended. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - May 8, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Petechial Hemorrhages in Suicide by Hanging: Possible Contributing Variables in Petechial Development
Hemorrhagic petechiae in the conjunctiva and the skin have been related to type of suspension and body height of the victims of hangings. In 265 cases of hanging, we retrospectively examined whether petechiae relate to type of suspension, body weight and height, body mass index (BMI), age, sex, type and thickness of the ligature, and blood alcohol content. The type of suspension was divided into completely suspended, incompletely suspended, and found with feet touching the ground. There was no significant difference in the frequency of petechiae between the feet touching the ground and complete suspension, and they were th...
Source: The American Journal of Forensic Medicine and Pathology - May 8, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

“The Scalpel Is Passed,” an Interview With Dr. Marcella Fierro
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - May 8, 2020 Category: Forensic Medicine Tags: Invited Interview Source Type: research

National Association of Medical Examiners Abstracts of the 2019 Annual Meeting
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - February 7, 2020 Category: Forensic Medicine Tags: Abstracts: PDF Only Source Type: research

Black Duodenum in Fatal Diabetic Ketoacidosis
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - February 7, 2020 Category: Forensic Medicine Tags: Letters to the Editor Source Type: research

Prolonging the Prone Postulate
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - February 7, 2020 Category: Forensic Medicine Tags: Letters to the Editor Source Type: research

On the Weight Force Used in Chest Compression in the Prone Position
No abstract available (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - February 7, 2020 Category: Forensic Medicine Tags: Letters to the Editor Source Type: research

Unplanned Complex Suicide by Self-Stabbing and Rail Suicide: A Case Report and Review of Literature
We present an interesting case of unplanned complex suicide with self-stabbing and head injury resulting from intentionally being struck by a train. There were also hesitation cuts evident over the neck and left wrist. This case highlights the importance of studying the nature and characterization of the wounds, examination of clothes, and examination of the scene to safely conclude the cause and the manner of death. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - February 7, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Ruptured Esophageal Varices From Metastatic Tumor in the Liver: A Case Report and Brief Review of Literature
We present a rare case of ruptured esophageal varices casing death in an individual with metastatic tumor (high-grade) neuroendocrine tumor in the liver causing portal hypertension. This is, to the best of our knowledge, the first case report in the literature reporting a neuroendocrine tumor causing esophageal varices. This case report aims to document this rather rare entity, highlight another mechanism on how metastatic disease can result in sudden death, and give a brief review of literature on metastatic tumor in the liver causing esophageal varices. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - February 7, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Sudden Death Due to Calcifying Pseudoneoplasm of the Neuraxis: A Case Report and a Review of Sudden Death Due to Undiagnosed Central Nervous System Mass Lesions
We present a case of a 22-year-old man who died unexpectedly after a seizure due to a previously undiagnosed calcifying pseudoneoplasm of the neuraxis (CAPNON). Calcifying pseudoneoplasm of the neuraxis is a rare entity, and this is, to our knowledge, the first described case of sudden death due to CAPNON. Sudden death due to undiagnosed central nervous system mass lesions is rare, and most cases are attributable to hemorrhage, hydrocephalus, or increased intracranial pressure due to mass effect. Seizure is a rare cause of sudden death due to central nervous system mass lesions. This case highlights that mass lesions may c...
Source: The American Journal of Forensic Medicine and Pathology - February 7, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Case Report of an Autopsy of a Child Who Died in a Drum-Type Washing Machine Tub: Pathophysiology Resulting in Death and Assessment of Previous Literature
The patient was a 5-year-old boy who was found in a state of cardiorespiratory arrest in the tub of a washing machine without water with the door closed. The autopsy findings included severe facial congestion and petechiae of the facial skin and palpebral conjunctiva. Several organs exhibited congestion. Hemorrhagic spots were seen on the serous membranes of various organs, with particularly marked hemorrhagic spots seen on the lungs. The heart contained fluid blood without soft clots. There were no findings indicative of marked trauma, intoxication, or hyperthermia. The examination results suggested that asphyxia had occu...
Source: The American Journal of Forensic Medicine and Pathology - February 7, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Challenges in the Diagnosis of a Posterior Lingual Abscess, a Potential Lethal Disorder: A Case Report and Review of the Literature
A lingual abscess is a rare but potentially life-threatening disorder. Since the introduction of antibiotics, the incidence of posterior lingual abscesses has significantly declined; however, this condition is often missed on physical examination or misdiagnosed as another condition. The consequence of this misdiagnosis can be severe because airway obstruction with subsequent difficult or unattainable intubation can develop and lead rapidly to death. Being relatively rare yet potentially lethal, consideration of a lingual abscess at the time of autopsy is important; otherwise, it may be missed. During most autopsies, the b...
Source: The American Journal of Forensic Medicine and Pathology - February 7, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

A Case of Personal Identification Via Postmortem Computed Tomography Confirmation of Aphakic Eyes
In conclusion, PMCT provides additional information, and the correct interpretation of intraocular PMCT findings by forensic pathologists is crucial. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - February 7, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

Simple, Frequent Indicator for Personal Identification—Postmortem and Antemortem Abdominal Computed Tomography Findings of a Charred Body
We present a case of a burn victim found after a house fire. Personal identification was attempted, but the body was heavily charred to the bones and the use of physical appearance was impracticable. There were no known relatives or personal belongings of the deceased for comparison of DNA typing. We obtained a series of abdominal computed tomography (CT) scans taken antemortem and found bilateral multiple renal cysts, left renal artery calcification, and a big right inguinal hernia, which matched the deceased's postmortem CT findings and autopsy findings. To date, studies of identification by CT have acted for a rise in p...
Source: The American Journal of Forensic Medicine and Pathology - February 7, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research

The Significance of a Knee Injury in the Investigation of an Unsuspected Motor Vehicle-Pedestrian Collision
We report a case that illustrates the importance of examination of the knee at autopsy when the typical lower extremity diaphyseal fractures that are usually seen in a motor vehicle-pedestrian collision are absent. (Source: The American Journal of Forensic Medicine and Pathology)
Source: The American Journal of Forensic Medicine and Pathology - February 7, 2020 Category: Forensic Medicine Tags: Original Articles Source Type: research