儿童因粪便瘤引起的胃肠道猝死:多层次法医病理学方法。

Q2 Medicine
G V Lacasella, S De Simone, M Karaboue, A Montana, F Orsini, E Dimauro, L Cipolloni, A Cioffi, C Cecannecchia
{"title":"儿童因粪便瘤引起的胃肠道猝死:多层次法医病理学方法。","authors":"G V Lacasella, S De Simone, M Karaboue, A Montana, F Orsini, E Dimauro, L Cipolloni, A Cioffi, C Cecannecchia","doi":"10.7417/CT.2025.5221","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Sudden gastrointestinal deaths refer to unexpected fatalities that occure due severe gastrointestinal conditions. They are rare, especially when compared to sudden deaths caused by cardiovascular, respiratory or neurological events. It is even more rare that a sudden death due to gastrointestinal causes occurs in a child.</p><p><strong>Results: </strong>We presented a unique case of sudden death of a 9-year-old child with no pertinent medical history, presenting abdominal pain and diarrhea and deceased shortly after the onset of symptoms. The autopsy showed a severe intestinal obstruction due to a rectosigmoid fecaloma. In addition, the immunohistochemical evaluation revealed an inflammation of the intestine.</p><p><strong>Conclusion: </strong>In case of sudden deaths, forensic pathological investigation is essential to determine the cause of death. Diagnosis can only be made through a rigorous and multi-level post-mortem approach in which immunostochemical investigation can also make an important contribution.</p>","PeriodicalId":50686,"journal":{"name":"Clinica Terapeutica","volume":"176 3","pages":"271-277"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sudden Gastrointestinal Deaths of a Child due to a Fecaloma: a Multilevel Forensic Pathological Approach.\",\"authors\":\"G V Lacasella, S De Simone, M Karaboue, A Montana, F Orsini, E Dimauro, L Cipolloni, A Cioffi, C Cecannecchia\",\"doi\":\"10.7417/CT.2025.5221\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Sudden gastrointestinal deaths refer to unexpected fatalities that occure due severe gastrointestinal conditions. They are rare, especially when compared to sudden deaths caused by cardiovascular, respiratory or neurological events. It is even more rare that a sudden death due to gastrointestinal causes occurs in a child.</p><p><strong>Results: </strong>We presented a unique case of sudden death of a 9-year-old child with no pertinent medical history, presenting abdominal pain and diarrhea and deceased shortly after the onset of symptoms. The autopsy showed a severe intestinal obstruction due to a rectosigmoid fecaloma. In addition, the immunohistochemical evaluation revealed an inflammation of the intestine.</p><p><strong>Conclusion: </strong>In case of sudden deaths, forensic pathological investigation is essential to determine the cause of death. Diagnosis can only be made through a rigorous and multi-level post-mortem approach in which immunostochemical investigation can also make an important contribution.</p>\",\"PeriodicalId\":50686,\"journal\":{\"name\":\"Clinica Terapeutica\",\"volume\":\"176 3\",\"pages\":\"271-277\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinica Terapeutica\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.7417/CT.2025.5221\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinica Terapeutica","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.7417/CT.2025.5221","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

摘要

背景:胃肠道猝死是指由于严重胃肠道疾病而发生的意外死亡。它们很罕见,特别是与心血管、呼吸或神经系统事件引起的猝死相比。儿童因胃肠道疾病猝死的情况更为罕见。结果:我们报告了一个独特的9岁儿童猝死病例,无相关病史,表现为腹痛和腹泻,在症状发作后不久死亡。尸检显示严重的肠梗阻由于直肠乙状结肠粪瘤。此外,免疫组化评价显示肠炎症。结论:在猝死病例中,法医病理检查对确定死因至关重要。诊断只能通过严格和多层次的死后方法进行,其中免疫化学调查也可以做出重要贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sudden Gastrointestinal Deaths of a Child due to a Fecaloma: a Multilevel Forensic Pathological Approach.

Background: Sudden gastrointestinal deaths refer to unexpected fatalities that occure due severe gastrointestinal conditions. They are rare, especially when compared to sudden deaths caused by cardiovascular, respiratory or neurological events. It is even more rare that a sudden death due to gastrointestinal causes occurs in a child.

Results: We presented a unique case of sudden death of a 9-year-old child with no pertinent medical history, presenting abdominal pain and diarrhea and deceased shortly after the onset of symptoms. The autopsy showed a severe intestinal obstruction due to a rectosigmoid fecaloma. In addition, the immunohistochemical evaluation revealed an inflammation of the intestine.

Conclusion: In case of sudden deaths, forensic pathological investigation is essential to determine the cause of death. Diagnosis can only be made through a rigorous and multi-level post-mortem approach in which immunostochemical investigation can also make an important contribution.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Clinica Terapeutica
Clinica Terapeutica PHARMACOLOGY & PHARMACY-
CiteScore
2.50
自引率
0.00%
发文量
124
审稿时长
6-12 weeks
期刊介绍: La Clinica Terapeutica è una rivista di Clinica e Terapia in Medicina e Chirurgia, fondata nel 1951 dal Prof. Mariano Messini (1901-1980), Direttore dell''Istituto di Idrologia Medica dell''Università di Roma “La Sapienza”. La rivista è pubblicata come “periodico bimestrale” dalla Società Editrice Universo, casa editrice fondata nel 1945 dal Comm. Luigi Pellino. La Clinica Terapeutica è indicizzata su MEDLINE, INDEX MEDICUS, EMBASE/Excerpta Medica.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信