アクセス数 : ?
ダウンロード数 : ?
ID 83267
著者
クボ, シンイチ Department of Legal Medicine, The University of Tokushima School of Medicine
オガタ, マモル Department of Legal Medicine, Faculity of Medicine, Kagoshima University
キタムラ, オサム Department of Forensic Medicine, The Jikei University School of Medicine
ナカソノ, イチロウ Department of Legal medicine, Nagasaki University School of Medicine
キーワード
tetralogy of Fallot
forensic pathology
cause of death
traffic accidental death
immunohistochemistry
資料タイプ
学術雑誌論文
抄録
The case of a61-year-old male traffic accident victem with Tetralogy of Fallot (TOF) is reported. The autopsy revealed massive hemorrhages in the subcutaneous tissue, muscle, and subarachnoidal space. Furthermore, multiple fractures of ribs, sternum and thoracic vertebrae were observed. Histopathological examination revealed changes characteristic of trauma, such as acute lung congestion, acute renal cortical necrosis, and embolization in the lungs and kidney. These autopsy and histological observations indi-cated that traumatic shock was cause of his death. Moreover, histologically, we observed changes due to his congenital heart disease, such as right ventricular hypertrophy, heart failure cells in the lungs, sclerosis of the liver, and hyaline degeneration in the kidney. Furthermore, ischemic changes, shrinkage or loss of neurons, were seen in hippocampus, and swelling of astrocytes in both cortex and hippocampus were also observed. These observations lead us to speculate that a hypoxic episode may have caused his accidental death while driving.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
46
1-2
開始ページ
115
終了ページ
119
並び順
115
発行日
1999
備考
フルテキストファイル
言語
eng