1
|
Kong V, Cheung C, Buitendag J, Rajaretnam N, Xu W, Varghese C, Bruce J, Laing G, Clarke D. Abdominal stab wounds with retained knife: 15 years of experience from a major trauma centre in South Africa. Ann R Coll Surg Engl 2023; 105:407-412. [PMID: 35175869 PMCID: PMC10149242 DOI: 10.1308/rcsann.2021.0321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/28/2021] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION This study reviews our cumulative experience with the management of patients presenting with a retained knife following an abdominal stab wound (SW). METHODS A retrospective study was conducted at a major trauma centre in South Africa over a 15-year period from July 2006 to December 2020 including all patients who presented with a retained knife in the abdomen following a SW. RESULTS A total of 42 cases were included: 37 males (93%) with a mean age of 26 years. A total of 18 knives (43%) were in the anterior abdomen and 24 were posterior abdomen. Plain radiography was performed in 88% (37/42) of cases and computed tomography was performed in 81% (34/42); 90% (38/42) underwent extraction in the operating theatre. Laparotomy was performed in 62% (26/42). Of all the laparotomies performed, 77% (20/26) were positive for intra-abdominal organ or visceral injury. Overall morbidity was 31%. There were two mortalities (5%). Laparotomy was less commonly required for the posterior abdomen (33% (8/24) vs 100% (18/18), p<0.001). For retained knives in the anterior abdomen, 72% (13/18) of the laparotomies were positive for intra-abdominal organ or visceral injury. For the posterior abdomen, 7 of the 8 (88%) were positive for intra-abdominal organ or visceral injury. There were no differences in the need for intensive care unit admission, length of hospital stay, morbidities or mortalities. CONCLUSIONS Uncontrolled extraction of a retained knife in the abdomen outside of the operating theatre must be avoided. Retained knives in the anterior abdomen usually require formal laparotomy, but this is generally not required for posterior abdomen.
Collapse
Affiliation(s)
- V Kong
- University of the Witwatersrand, Johannesburg, South Africa
| | - C Cheung
- Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa
| | | | | | - W Xu
- University of Auckland, Auckland, New Zealand
| | - C Varghese
- University of Auckland, Auckland, New Zealand
| | - J Bruce
- University of KwaZulu Natal, Durban, South Africa
| | - G Laing
- University of KwaZulu Natal, Durban, South Africa
| | | |
Collapse
|
2
|
Karnecki K, Wrocławski A, Pieśniak D, Dalewski W, Gos T, Kaliszan M. Homicide mechanisms, weapon types and causes of death in the autopsy material of the Department of Forensic Medicine Medical University of Gdańsk Poland in the years 2010-2019. J Forensic Leg Med 2023; 94:102481. [PMID: 36592486 DOI: 10.1016/j.jflm.2022.102481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Revised: 12/06/2022] [Accepted: 12/21/2022] [Indexed: 12/31/2022]
Abstract
The study objective was the analysis of homicides based on reports of 107 medicolegal autopsies of victims, which were carried out in 2010-2019 at the Department of Forensic Medicine of the Medical University of Gdańsk, Poland. The study focused on the analysis of homicide mechanisms, on the weapon type, injuries characteristics, and both pathomechanisms and causes of death. Alcohol and illicit drugs abuse, which is a predisposing factor, was also assessed. In the analysed cohort, 70.1% were males and 29.9% females. The most frequently used weapon was a blunt instrument (accounting for 47.7% of homicides), while the least common was a firearm (accounting for 4.7% of homicides). There were significant differences in homicide mechanisms related to victims' gender. In males, blunt or sharp instruments predominated, while in females violent suffocation and chop injuries were more frequent. Fatal head injuries and their consequences predominated in the pathomechanisms of death (32.7% of cases). It was shown that the highest blood alcohol concentration (BAC) was found in homicides due to violent strangulation and sharp instrument use, while the lowest BAC was found in gunshot victims. Toxicological tests were performed in 18 cases and in 7 cases showed positive results for illicit drugs. The analysis of various elements involved in homicide may contribute to a conceptual framework for preventive measures aiming at the reduction of homicides number.
Collapse
Affiliation(s)
- Karol Karnecki
- Department of Forensic Medicine, Medical University of Gdańsk, 23 Dębowa St., 80-204, Gdańsk, Poland
| | - Adrian Wrocławski
- Department of Material Criminal Law and Criminology, University of Gdańsk, 16 Jana Bażyńskiego St., 80-952, Gdańsk, Poland
| | - Dorota Pieśniak
- Department of Forensic Medicine, Medical University of Gdańsk, 23 Dębowa St., 80-204, Gdańsk, Poland
| | - Wojciech Dalewski
- Department of Forensic Medicine, Medical University of Gdańsk, 23 Dębowa St., 80-204, Gdańsk, Poland
| | - Tomasz Gos
- Department of Forensic Medicine, Medical University of Gdańsk, 23 Dębowa St., 80-204, Gdańsk, Poland
| | - Michał Kaliszan
- Department of Forensic Medicine, Medical University of Gdańsk, 23 Dębowa St., 80-204, Gdańsk, Poland.
| |
Collapse
|
3
|
Thomsen AH, Leth PM, Hougen HP, Villesen P. Blunt force homicides in Denmark 1992-2016. J Forensic Sci 2022; 67:2343-2350. [PMID: 35982577 PMCID: PMC9804827 DOI: 10.1111/1556-4029.15118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 07/09/2022] [Accepted: 07/28/2022] [Indexed: 01/09/2023]
Abstract
Blunt force trauma is a common homicide method, inflicted in three different ways: bodily force, assault with blunt objects of various types and falls from height. The objective of this study is to provide thorough information on blunt force homicides with data on the victims, the offenders, the surrounding circumstances, the injury methods, the extent of injuries, and survival time, which will help inform the inexperienced as well as the seasoned forensic pathologist in their daily work with death investigation and as expert witnesses in court. We have analyzed autopsy reports and available case files of 311 blunt force homicides, making up 21.9% of all homicides in Denmark during 1992-2016. Most victims and offenders were male. Altercation in the setting of nightlife and intoxication was common in male victims, while most female victims were killed in a domestic setting. Bodily force was the most common primary homicide method, followed by assault with a blunt object and fall from height. The head was the region that most often had external injuries, with no noteworthy difference between cases with bodily force and blunt objects. Two out of three victims had one or more lacerations, most often located on the head and more often on the front. Brain injury was the primary cause of death in at least 72.0% victims. Compared to bodily force victims of blunt object assault were especially prone to skull and brain injuries, had a higher trauma score, and more died at the crime scene and had a shorter survival time.
Collapse
Affiliation(s)
| | - Peter M. Leth
- Department of Forensic MedicineUniversity of Southern DenmarkOdense CDenmark
| | - Hans P. Hougen
- Department of Forensic Medicine, Faculty of Health SciencesUniversity of CopenhagenCopenhagenDenmark
| | - Palle Villesen
- Bioinformatics Research CentreAarhus UniversityAarhus CDenmark,Department of Clinical MedicineAarhus UniversityAarhusDenmark
| |
Collapse
|
4
|
Simonit F, Marcuzzi G, Desinan L. A bizarre case of fatal main renal artery partial laceration without primary kidney injury due to a single stab wound in the chest. Leg Med (Tokyo) 2021; 51:101892. [PMID: 33910129 DOI: 10.1016/j.legalmed.2021.101892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 03/30/2021] [Accepted: 04/08/2021] [Indexed: 11/29/2022]
Abstract
Reno-vascular injuries are a rare type of renal injury, and their second most frequent cause is penetrating wounds. The majority of the reports and of the studies are present in the urological and radiological literature and they focus on the clinical approach to such injuries. In the case here presented, an 18-year-old male died after being stabbed in the left hemithorax. During body examination, thoracic organs were found to be unremarkable (except for a small peripheral laceration of the left lung), but the diaphragm was transfixed and the upper wall of the left main renal artery was lacerated. The adjacent renal vein, the kidney, the aorta, the vena cava and the surrounding internal structures were not damaged (except for a small laceration of the pancreatic tail). A massive haemothorax and a large retroperitoneal haematoma in the left kidney area were observed. The cause of death was attributed to haemorrhagic shock following a partial laceration of the left main renal artery due to the stab wound to the chest. No other cases of similar fatal renovascular injuries due to stab wounds have been published in the current forensic literature.
Collapse
Affiliation(s)
- Francesco Simonit
- Dipartimento di Area Medica, Medicina Legale, Università degli Studi di Udine, p.le S. Maria della Misericordia 15, 33100 Udine, Italy.
| | - Gabriella Marcuzzi
- Dipartimento di Area Medica, Medicina Legale, Università degli Studi di Udine, p.le S. Maria della Misericordia 15, 33100 Udine, Italy.
| | - Lorenzo Desinan
- Dipartimento di Area Medica, Medicina Legale, Università degli Studi di Udine, p.le S. Maria della Misericordia 15, 33100 Udine, Italy.
| |
Collapse
|
5
|
de Bakker HM, Warmbrunn MV, van den Biggelaar P, Soerdjbalie-Maikoe V, de Bakker BS. Correction to: Fracture patterns of the hyoid-larynx complex after fatal trauma on the neck: retrospective radiological postmortem analysis of 284 cases. Int J Legal Med 2020; 135:1105-1113. [PMID: 32870356 DOI: 10.1007/s00414-020-02382-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Henri M de Bakker
- Department of Radiology, Groene Hart Hospital, Bleulandweg 10, 2803 HH, Gouda, Netherlands
| | - Moritz V Warmbrunn
- Department of Medical Biology, Section Clinical Anatomy & Embryology, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands
| | - Peggy van den Biggelaar
- Department of Medical Biology, Section Clinical Anatomy & Embryology, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands
| | - Vidija Soerdjbalie-Maikoe
- Division of Special Services, Section Forensic Pathology, Netherlands Forensic Institute, P.O. Box 24044, 2490 AA, The Hague, Netherlands
| | - Bernadette S de Bakker
- Department of Medical Biology, Section Clinical Anatomy & Embryology, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands.
| |
Collapse
|
6
|
de Bakker HM, Warmbrunn MV, van den Biggelaar P, Soerdjbalie-Maikoe V, de Bakker BS. Fracture patterns of the hyoid-larynx complex after fatal trauma on the neck: retrospective radiological postmortem analysis of 284 cases. Int J Legal Med 2020; 134:1465-1473. [PMID: 31912213 DOI: 10.1007/s00414-019-02241-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2019] [Accepted: 12/12/2019] [Indexed: 10/25/2022]
Abstract
PURPOSE Fatal trauma on the neck occurs frequent in forensic cases and often results in fractures of the hyoid-larynx complex. The aim of the present study is to provide an overview of fractures in the hyoid-larynx complex that occur due to fatal trauma on the neck and can be observed by radiological evaluation. METHODS Radiological images from a forensic radiological database created in -BLINDED- were used for analysis. Hyoid-larynx complexes were explanted in 284 individuals who accordingly to the forensic pathologist allegedly died from fatal trauma on the neck. These explants were imaged with conventional X-rays in eight directions and a CT scan. Radiological images were analyzed for fractures, dislocations, joints, and anatomical variations by a trained analyst and a radiologist. RESULTS In 281/284 cases, the hyoid bone and, in 252/284 cases, the thyroid cartilage could be assessed. In 56 victims (20%), the hyoid bone was fractured, 55 times in the greater horn, 1 fracture in the body. The calcified superior horn of the thyroid showed a fracture in 101 victims (40%). The calcified cricoid cartilage was fractured in one case. Multiple fractures were found in 31/284 cases (11%). Joints between the greater horn and body of the hyoid were present in 74%. CONCLUSION Trauma on the neck leads most frequently to fractures of the superior horn of the thyroid cartilage and second most to fractures in the greater horn of the hyoid bone. (Forensic) radiologists should be aware of uncommon fracture locations, anatomical variations, and dislocations in the hyoid-larynx complex.
Collapse
Affiliation(s)
- Henri M de Bakker
- Department of Radiology, Groene Hart Hospital, Bleulandweg 10, 2803 HH, Gouda, Netherlands
| | - Moritz V Warmbrunn
- Department of Medical Biology, Section Clinical Anatomy & Embryology, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands
| | - Peggy van den Biggelaar
- Department of Medical Biology, Section Clinical Anatomy & Embryology, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands
| | - Vidija Soerdjbalie-Maikoe
- Division of Special Services, Section Forensic Pathology, Netherlands Forensic Institute, P.O. Box 24044, 2490 AA, The Hague, Netherlands
| | - Bernadette S de Bakker
- Department of Medical Biology, Section Clinical Anatomy & Embryology, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands.
| |
Collapse
|
7
|
Ben Khelil M, Boukthir I, Hmandi O, Zhioua M, Hamdoun M. Trends of infanticides in northern Tunisia: A 40 years study (1977-2016). CHILD ABUSE & NEGLECT 2019; 95:104047. [PMID: 31288130 DOI: 10.1016/j.chiabu.2019.104047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/17/2019] [Revised: 05/08/2019] [Accepted: 06/12/2019] [Indexed: 06/09/2023]
Abstract
BACKGROUND The Tunisian Penal Code defines infanticide as the murder committed by the mother on her child at birth or immediately after. There is a dearth of studies and official statistics on infanticide in the Arab region and North Africa. OBJECTIVE to analyze the infanticide trends in northern Tunisia between 1977 and 2016. PARTICIPANTS AND SETTING we included all cases of infanticides autopsied at the Legal Medicine Department of Charles Nicolle Hospital in Tunis, over a period of 40 years (1977-2016). METHODS A descriptive retrospective study. RESULTS We collected a total of 513 cases of infanticide over the study period. The general prevalence of infanticide was 0.42 per 100,000 live births per year. Infanticide often occurred during the week, in winter (31.5%) and in spring (30.9%). The newborn was often found on public roads (40.9%) and in urban areas (81.4%). The newborn was often full-term (73.6%), mature, without any congenital malformation, found completely naked (75.2%) and with an empty stomach (93.7%). The umbilical cord was often cut (71.5%), not ligated (82%) with an irregular edge (64%). There was often no putrefaction (54.4%). The hydrostatic test (81.8%) and histological examination (81.1%) showed that infants had breathed. Neglect was the most common cause of death (49.9%). CONCLUSION Northern Tunisia has a low prevalence of infanticide compared to most of the previous European and American studies. A better understanding of infanticide would allow us to adapt measures of prevention.
Collapse
Affiliation(s)
- Mehdi Ben Khelil
- Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia; Department of Legal Medicine, Charles Nicolle Hospital, Tunis, Tunisia.
| | - Ilhem Boukthir
- Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia
| | - Ons Hmandi
- Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia; Department of Legal Medicine, Charles Nicolle Hospital, Tunis, Tunisia
| | - Mongi Zhioua
- Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia; Department of Legal Medicine, Charles Nicolle Hospital, Tunis, Tunisia
| | - Moncef Hamdoun
- Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia; Department of Legal Medicine, Charles Nicolle Hospital, Tunis, Tunisia
| |
Collapse
|
8
|
Cipolloni L, Besi L, Baldari B, La Russa R, Frati P, Fineschi V. Intentional Homicide: A Fifteen-Year Study (2000-2014) at the Department of Forensic Medicine, University of Rome "Sapienza". J Forensic Sci 2019; 65:103-111. [PMID: 31404476 DOI: 10.1111/1556-4029.14162] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2018] [Revised: 07/15/2019] [Accepted: 07/22/2019] [Indexed: 11/27/2022]
Abstract
This study analyzes postmortem records from 260 homicide cases autopsied by the Department of Forensic Medicine in Rome from 2000 to 2014. The victims were mainly males (74%) and young (61% aged from 21 to 50 years). Although the victims were mostly Italians, the number of foreign victims (33%) has increased since 1990, primarily due to immigration. The offenders frequently used firearms (39%), particularly in multiple murders. An increase in blunt (20%) and sharp force (32%) weapons was also seen. The primary crime scene was residential (42%), and the head was the most frequently injured body region. Male victims occurred frequently in the context of organized crime (7.6%). In family or intimate-sexual relationships, women were the majority of victims (8%). Forensic pathologists play an important role during investigation. They should consider all the information available to them, including autopsy information, crime scene information, and crime investigation data.
Collapse
Affiliation(s)
- Luigi Cipolloni
- Department of Anatomic, Histological, Forensic and Orthopedic Science, University of Rome "Sapienza", viale Regina Elena 336, 00161, Rome, Italy
| | - Livia Besi
- Department of Anatomic, Histological, Forensic and Orthopedic Science, University of Rome "Sapienza", viale Regina Elena 336, 00161, Rome, Italy
| | - Benedetta Baldari
- Department of Anatomic, Histological, Forensic and Orthopedic Science, University of Rome "Sapienza", viale Regina Elena 336, 00161, Rome, Italy
| | - Raffaele La Russa
- Department of Anatomic, Histological, Forensic and Orthopedic Science, University of Rome "Sapienza", viale Regina Elena 336, 00161, Rome, Italy
| | - Paola Frati
- Department of Anatomic, Histological, Forensic and Orthopedic Science, University of Rome "Sapienza", viale Regina Elena 336, 00161, Rome, Italy
| | - Vittorio Fineschi
- Department of Anatomic, Histological, Forensic and Orthopedic Science, University of Rome "Sapienza", viale Regina Elena 336, 00161, Rome, Italy
| |
Collapse
|
9
|
|
10
|
Migliorini AS, Boracchi M, Gentile G, Maciocco F, Piccinini A, Zoja R. A particularly complex case of matricide by means of plastic bag suffocation: Case report. MEDICINE, SCIENCE, AND THE LAW 2017; 57:137-142. [PMID: 28697681 DOI: 10.1177/0025802417720511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
A rare case of homicide with plastic bag suffocation is presented in which forensic genetic investigations were carried out on the inner surface of a plastic bag placed over the head of an elderly woman, bedridden after a stroke. The results obtained suggested that she had been murdered and hinted at the perpetrator of the crime. In fact, it emerged that biological traces left by the victim matched those of her principal caregiver, her psychotic daughter, who later confessed to the crime. The old woman also had a son affected by a serious illness, whose genetic profile was found on the same bag. In a later interview, he stated that his sister had tried to kill him too, thus confirming the genetic findings and allowing the investigators to hypothesise that the daughter had used the same means to try to kill him. Based on these results, the usefulness of forensic genetic testing when investigating complex plastic bag suffocation deaths is highlighted. This peculiar case deserves interest, since no murder of this kind has ever been reported in the Italian forensic literature.
Collapse
Affiliation(s)
| | - Michele Boracchi
- 2 Dipartimento di Scienze Biomediche per la Salute, Sezione di Medicina Legale e delle Assicurazioni, Università degli Studi di Milano, Italy
| | - Guendalina Gentile
- 2 Dipartimento di Scienze Biomediche per la Salute, Sezione di Medicina Legale e delle Assicurazioni, Università degli Studi di Milano, Italy
| | - Francesca Maciocco
- 2 Dipartimento di Scienze Biomediche per la Salute, Sezione di Medicina Legale e delle Assicurazioni, Università degli Studi di Milano, Italy
| | - Andrea Piccinini
- 2 Dipartimento di Scienze Biomediche per la Salute, Sezione di Medicina Legale e delle Assicurazioni, Università degli Studi di Milano, Italy
| | - Riccardo Zoja
- 2 Dipartimento di Scienze Biomediche per la Salute, Sezione di Medicina Legale e delle Assicurazioni, Università degli Studi di Milano, Italy
| |
Collapse
|
11
|
Aho AL, Remahl A, Paavilainen E. Homicide in the western family and background factors of a perpetrator. Scand J Public Health 2017; 45:555-568. [PMID: 28565939 DOI: 10.1177/1403494817705587] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
AIMS Familicide is a multiple-victim homicide incident in which the killer's spouse and one or more children are slain. A systematic review was conducted to reveal the background factors of western homicide perpetrators. METHODS The systematic search was performed in the Arto, Medic, Cinahl, Medline, EBSCOhost Academic Search Premier and Social Services abstracts databases. The keywords were familicide, family homicide, familicide-suicide, filicide-suicide, extended suicide, child, murder, family, filicide and infanticide. The searches revealed 4139 references from the databases. The references were filtered and 32 peer-reviewed research articles revealed in years 2004-2014 were selected as data. The articles were analysed using inductive content analysis, by finding all possible background factors related to homicide. RESULTS The factors were described as percentages of the range. The background factors of familicide perpetrators were categorised as follows: perpetrators who had committed homicide of a child and intimate partner and possibly committed suicide; a father had who killed a child; a mother who had killed a child; a father who had committed a filicide-suicide; and a mother who had committed a filicide-suicide. CONCLUSIONS Psychological instability, violence and crime were found in all these categories of familicides. Perpetrators who had committed a suicide in addition to the familicide had more often been diagnosed with depression, but they sought treatment for mental health problems less often and had violence and self-destructiveness less often in their background than in other familicide categories. Social and healthcare professionals should be more sensitive to emerging family problems and be prepared for intervention.
Collapse
|
12
|
Lee D, Delcher C, Maldonado-Molina MM, Thogmartin JR, Goldberger BA. Manners of Death in Drug-Related Fatalities in Florida. J Forensic Sci 2016; 61:735-42. [DOI: 10.1111/1556-4029.12999] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2014] [Revised: 03/09/2015] [Accepted: 05/12/2015] [Indexed: 01/18/2023]
Affiliation(s)
- Dayong Lee
- UF Health Pathology Laboratories; Department of Pathology, Immunology and Laboratory Medicine; University of Florida College of Medicine; Gainesville FL
| | - Chris Delcher
- Department of Health Outcomes and Policy; Institute for Child Health Policy; University of Florida College of Medicine; Gainesville FL
| | - Mildred M. Maldonado-Molina
- Department of Health Outcomes and Policy; Institute for Child Health Policy; University of Florida College of Medicine; Gainesville FL
| | | | - Bruce A. Goldberger
- UF Health Pathology Laboratories; Department of Pathology, Immunology and Laboratory Medicine; University of Florida College of Medicine; Gainesville FL
| |
Collapse
|
13
|
Charlier P, Huynh-Charlier I, Brun L. [Broncho-pulmonary aspiration of brain and cartilage tissue in a context of gasping]. Ann Pathol 2014; 34:474-6. [PMID: 25499863 DOI: 10.1016/j.annpat.2014.09.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2013] [Revised: 05/12/2014] [Accepted: 09/24/2014] [Indexed: 11/16/2022]
Abstract
Evidence of post-mortem breath movements are rarely reported. We present two cases of broncho-pulmonary aspiration of brain and cartilage tissue following two fatal suicidal gunshots to the head. We also discuss the physiopathological implications for the agony.
Collapse
Affiliation(s)
- Philippe Charlier
- Section d'anthropologie médicale et médico-légale, UFR des sciences de la santé (UVSQ, AP-HP), 2, avenue de la Source-de-la-Bièvre, 78180 Montigny-le-Bretonneux, France.
| | - Isabelle Huynh-Charlier
- Service de radiodiagnostic, CHU de la Pitié-Salpêtrière, AP-HP, boulevard de l'Hôpital, 75013 Paris, France
| | - Luc Brun
- Laboratoire d'anatomie pathologique, CHU de Parakou, Parakou, Bénin
| |
Collapse
|
14
|
Hedlund J, Ahlner J, Kristiansson M, Sturup J. A population-based study on toxicological findings in Swedish homicide victims and offenders from 2007 to 2009. Forensic Sci Int 2014; 244:25-9. [DOI: 10.1016/j.forsciint.2014.07.015] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2014] [Accepted: 07/17/2014] [Indexed: 11/29/2022]
|
15
|
Verzeletti A, Bin P, De Ferrari F. Homicide by Blunt Trauma in Brescia County (Northern Italy) Between 1982 and 2012. Am J Forensic Med Pathol 2014; 35:62-7. [DOI: 10.1097/paf.0000000000000080] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
16
|
Verzeletti A, Russo MC, Bin P, Leide A, De Ferrari F. Homicide in Brescia County (Northern Italy): A thirty-year review. J Forensic Leg Med 2014; 22:84-9. [DOI: 10.1016/j.jflm.2013.12.012] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2013] [Revised: 11/01/2013] [Accepted: 12/07/2013] [Indexed: 11/27/2022]
|