1/18. Petechiae of the baby's skin as differentiation symptom of infanticide versus SIDS.The successive killing of three siblings by their biological mother at two-year intervals is described. The children were 367 days, 75 days and 3 years old. Although sudden infant death syndrome (SIDS) or interstitial pneumonia could not be ruled out as the cause of death in the two younger children, who were killed first, the third child exhibited discrete signs of violence in the mouth and throat area which were interpreted as proof of infanticide. All three children had petechiae of the skin of the face and throat, the upper thorax, the shoulders and the mucous membranes of the mouth. None of the children exhibited signs of a disease-related hemorrhagic tendency. After the mother was convicted of murdering the three-year-old boy by smothering in combination with compression of the thorax, she confessed to having killed the other two children in a similar manner. In the absence of hemostatic disease, the presence of petechiae of the skin extending over the entire drainage area of the Vena cava superior can be regarded as evidence of an increase in pressure in the thoracic cavity secondary to obstruction of the airways with simultaneous chest compression.- - - - - - - - - - ranking = 1keywords = mouth, cavity (Clic here for more details about this article) |
2/18. Unusual suicidal smothering by means of multiple loops of adhesive gummed tape.In suicidal asphyxia smothering is very rare, especially when caused by winding strips of adhesive tape around the head to cover the nose and mouth. The authors report a very unusual case in which the deceased, a 66-year-old man, was found with two strips of tape wound around his head: the first, more superficial tape was wrapped six times and the second was wrapped nine times. Only integration of the crime scene data with those of the autopsy and the patient's psychological profile enabled identification of the event as suicide.- - - - - - - - - - ranking = 0.49535204956788keywords = mouth (Clic here for more details about this article) |
3/18. An unusual case of death: suffocation caused by leaves of common ivy (hedera helix). Detection of hederacoside C, alpha-hederin, and hederagenin by LC-EI/MS-MS.We report one fatal case of asphyxia caused by leaves of common ivy. Macroscopic examination of the corpse during the autopsy disclosed an incredible quantity of leaves of hedera helix in the mouth and throat of the decedent. In order to rule out the possibility of poisoning by the toxic saponins contained in the plant, we have developed an efficient LC-EI/MS-MS assay of hederacoside C, alppha-hederin, and hederagenin in biological fluids and plant material. Sample cleanup involved solid-phase extraction of the toxins on C18 cartridges followed by LC analysis under reversed-phase conditions in the gradient elution mode. Solute identification was performed using full scan MS-MS spectrum of the analytes. Oleandrine was used as internal standard. Under these conditions, saponins in powdered dried leaves of hedera helix were measured at a concentration of 21.83 mg/g for hederacoside C, 0.41 mg/g for alpha-hederin and 0.02 mg/g for hederagenin. No toxin was detected in cardiac blood, femoral blood, or urine of the deceased, but hederacoside C was quantitated at 857 ng/mL in the gastric juice. These findings led us to conclude that the man committed suicide and that the death was caused by suffocation by leaves of common ivy.- - - - - - - - - - ranking = 0.49535204956788keywords = mouth (Clic here for more details about this article) |
4/18. Mechanical asphyxia by three different mechanisms.We report the case of death of a 75-year-old Caucasian woman, produced by three different ways of mechanical asphyxia: smothering and strangulation by hand and traumatic asphyxia by thoracic compression. All these criminal offences were carried out by one single assailant who compressed the mouth and the nose of the victim with the left hand, squeezed her neck with the right hand and pressed her thorax with the knees.- - - - - - - - - - ranking = 0.49535204956788keywords = mouth (Clic here for more details about this article) |
5/18. Three subsequent infanticides covered up as SIDS.Within a period of 9 years a young woman lost 3 daughters during infancy and each time death was attributed to the sudden infant death syndrome. The children had different fathers and died at the ages of 11 weeks, 7 weeks and 2 weeks, respectively. A fourth daughter survived and lives separated from the mother together with her father and is healthy. At autopsy the last of the three deceased infants did not reveal any pre-existing pathological organ findings, except for acute pulmonary emphysema and extensive intra-alveolar bleeding. As a consequence the strong suspicion of mechanical suffocation arose. Subsequent police investigations produced incriminating clues that the first two children had also been suffocated. On confrontation with the autopsy findings and investigation results, the woman confessed that she herself had killed the first two infants by pressing a cushion on their faces. In the case of the third death the baby had been smothered by the child's father who in agreement with the mother put a plastic film on mouth and nostrils.- - - - - - - - - - ranking = 0.49535204956788keywords = mouth (Clic here for more details about this article) |
6/18. milk aspiration in an infant during supine bottle feeding: a case report.A two-month-old infant died during bottle feeding in the supine position in the caregiver's absence. Scene investigations and autopsy examinations, including alpha-lactalbumin immunohistochemistry of the lungs, revealed the cause of death to be asphyxia due to aspiration of milk pooled in the naso-oral cavity, as a result of unsupervised supine feeding. This case emphasizes the need for an investigation into feeding positions and immunohistochemical examinations for the diagnosis of asphyxia due to milk aspiration.- - - - - - - - - - ranking = 0.0092959008642442keywords = cavity (Clic here for more details about this article) |
7/18. Sudden suffocation by surgical sponge retained after a 23-year-old thoracic surgery.A 70-year-old male patient with a 23-year-old history of right lower lung lobectomy for primary pulmonary adenocarcinoma (T1 N0 M0) presented with recurrent bronchopneumonia and purulent sputum. Pleural callus, lung abscess, bronchopleural fistula, and stitch granulomas were confirmed by chest x-ray, computed tomography scan, and bronchoscopy in the background of his complaints. An attempt to remove the bronchial purulent discharge and tissue sampling was made by using a flexible bronchoscope. The area of the lower trachea suddenly became clogged during bronchoscopic removal of the suspected piece of tissue (which later turned out to be organizing surgical gauze). The resuscitation following ventricular fibrillation failed to save the patient's life. The forensic postmortem examination confirmed the position of the foreign body extending from the abscess cavity, crossing the midline at carina and obstructing the lower trachea. This foreign body was a remnant of the surgical gauze left behind during a thoracic surgery 23 years ago.- - - - - - - - - - ranking = 0.0092959008642442keywords = cavity (Clic here for more details about this article) |
8/18. Multiple synchronous fibrovascular polyps of the hypopharynx.PURPOSE OF THE STUDY: To evaluate the clinical, radiological presentation and surgical management of fibrovascular polyps of the hypopharynx. methods: Retrospective medical analysis of a case report. We report the case of a 66-year-old man, who presented with an incarcerated left inguinal hernia, vomiting and regurgitation of a large mass into the oral cavity resulting in syncope. MRI and cine-esophagram demonstrated a large mass in the cervical esophagus. At the time of herniorrhaphy, endoscopy revealed an 11.8-cm hypopharyngeal mass that completely obstructed the oropharynx. RESULTS: The airway was secured by tracheostomy and the lesion was subsequently removed via open pharyngotomy. Postoperatively, a second polyp was found ball-valving into the airway, and an endoscopic resection was performed prior to decannulation. Histopathology of both lesions confirmed the diagnosis of a fibrovascular polyp. CONCLUSION: Fibrovascular polyps are rare benign intraluminal esophageal lesions resulting in mild symptoms of dysphagia that may also cause significant morbidity such as syncope and asphyxia. This is the first report of synchronous fibrovascular polyps of the hypopharynx.- - - - - - - - - - ranking = 0.0092959008642442keywords = cavity (Clic here for more details about this article) |
9/18. An unusual mechanical asphyxia in a homicide-suicide case by smothering and strangulation.A very unusual homicide of 2 children by smothering and strangulation by means of a rubber adhesive band carried out by the mother who committed suicide by the same manner is presented. Smothering is supposed to be one major cause of death in child homicide. suicide by smothering is relatively uncommon. Suicidal smothering by winding strips of adhesive tape around the head to cover the nose and mouth is an even rarer method recently described in literature. The circumstances of the crime and the macroscopic and microscopic evidence are discussed to reduce the potential for underdiagnoses or mistakes in such cases in which it may be difficult to establish whether suicide or homicide occurred.- - - - - - - - - - ranking = 0.49535204956788keywords = mouth (Clic here for more details about this article) |
10/18. An unusual case of accidental smothering.A rare accidental death case is presented in which four pieces of packing tape adhered tightly over the nose and mouth. The notes for his experimental report, left in his room, suggested that the accident happened during his trial to prove his theory on respiration to improve physical exercise.- - - - - - - - - - ranking = 0.49535204956788keywords = mouth (Clic here for more details about this article) |
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