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 deaths, there...
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