Lack of gastric emptying at autopsy eleven days after heat trauma in the sauna- a forensic autopsy case report
Kerscher SR, Kern N, Chistiakova N, Verhoff D, Verhoff MA
Forensic science, medicine, and pathology · 1 cita
Cómo se estudió
- Diseño
- Reporte de caso (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Eventos clínicos como enfermedad o muerte
Quién lo pagó
- Financiación
- Financiación independiente
Según la declaración de financiación del texto completo.
Publicación
- Publicado
- 2024-12-17 · Forensic Sci Med Pathol · vol. 21 · número 3 · págs. 1321–1326
- Editorial
- Springer Science+Business Media
- Citado
- 2 citas · más que el 65% de estudios similares · 0.5× el promedio de su campo
- Referencias
- 27 trabajos
- Acceso
- Acceso abierto (revista híbrida) · CC-BY
- Áreas de investigación
- Thermoregulation and physiological responses · Clinical Nutrition and Gastroenterology · Diet and metabolism studies
- Palabras clave
- Medicine, Autopsy, Stomach, Gastric emptying, Duodenum, Burn center, Intensive care, Time of death, Surgery, General surgery, Intensive care medicine, Emergency medicine, Internal medicine, Poison control
- MeSH
- gastrointestinal contents, humans, burns, steam bath, fatal outcome, forensic pathology, gastric emptying, time factors, aged, male
5 autores
- Susanne Regina Kerscher🇩🇪 · autor de correspondenciaGoethe University Frankfurt; University Hospital Frankfurt
- Natascha Kern🇩🇪Goethe University Frankfurt
- Nadezhda Chistiakova🇩🇪Goethe University Frankfurt
- Doreen Verhoff🇩🇪Goethe University Frankfurt
- Marcel A. Verhoff🇩🇪Goethe University Frankfurt
Resumen
El texto original del estudio, en el idioma en que se publicó.
A man in his mid-70s passed out in a public 90-degree sauna and remained unconscious for at least half an hour. He suffered third-degree burns to approximately 50% of his body surface area. Despite immediate transport to a burn center and intensive care therapy, he did not regain consciousness and died eleven days later.When the body was opened, the lungs, liver, kidneys, and spleen showed changes consistent with the burns, intensive care therapy, and clinically suspected septic shock. The stomach contained approximately 200 ml of thickened chyme with coarse vegetable components. Such food components were not seen in the duodenum or in the following intestinal segments.Considering the overall circumstances, the stomach contents must have been the last meal the man had eaten before the sauna session. The problem of reduced gastrointestinal motility in burn patients is clinically recognized. Nevertheless, a complete failure of gastric emptying for eleven days after intensive care therapy has not been described before and shows that the use of gastric contents in forensic practice is inappropriate for drawing conclusions about the time interval between last food intake and death and thus for estimating the time of death.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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