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ID 110806
著者
久保, 真一 Department of Forensic Medicine, Institute of Health Biosciences, The University of Tokushima Graduate School
石上, 安希子 Department of Forensic Medicine, Institute of Health Biosciences, The University of Tokushima Graduate School KAKEN研究者をさがす
後藤田, 貴子 Department of Forensic Medicine, Institute of Health Biosciences, The University of Tokushima Graduate School
徳永, 逸夫 Department of Forensic Medicine, Institute of Health Biosciences, The University of Tokushima Graduate School
北村, 修 Department of Forensic Medicine, Institute of Health Biosciences, The University of Tokushima Graduate School
キーワード
cause of death
adrenal insufficiency
panhypopituitarism
hypophysectomy
endocrinology
資料タイプ
学術雑誌論文
抄録
A 63-years-oldman was found dead with the body soaking in water lying face up on a riverbank. Autopsy and diatom examination demonstrated that the cause of death was drowning. He had undergone hypophysectomy 20 years earlier. Autopsy, pathological and endocrinological findings demonstrated secondary and chronic hypothyroidism, hypogonadism, and adrenal in sufficiency. The cadaver had fallen into the river, and received numerous wounds such as abrasions and subcutaneous hemorrhage. Moreover, it was suspected that he had developed hypothermia before death. Cortisol in the blood and 17-OHCSin urine were within the reference range. We suspect that the adrenocortical hormone was secreted into the blood as a result of various stresses due to wounds and hypothermia. However, it was suspected that sufficient hormone might not be secreted due to chronic adrenal insufficiency. This insufficient cortisol causes the decrease in the stress resistance, and might influence his cause of death. Moreover, as hypothyroidism decreases thermogenesis, he might have fallen into hypothermia easily. In addition, because both adrenocortical insufficiency and hypothyroidism caused the hypoglycemia, he might have fallen into the loss of consciousness. Therefore, it was considered that he had died by drowning, in relation to the adrenocortical insufficiency and panhypopituitarism.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
53
1-2
開始ページ
183
終了ページ
187
並び順
183
発行日
2006-02
EDB ID
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系