scholarly journals Autopsy Findings on Decomposing Drowned Body: Identification of Specific Diagnostic Features of External, Internal, and Laboratory Examinations

2021 ◽  
Vol 9 (C) ◽  
pp. 218-221
Author(s):  
Satria Perwira ◽  
Tia Maya Affrita ◽  
Edwin Tambunan ◽  
Ahmad Yudianto
Keyword(s):  
Residential Area ◽  
The Body ◽  
East Side ◽  
Diagnostic Features ◽  
Case Presentation ◽  
External Examination ◽  
Laboratory Examinations ◽  
Laboratory Investigations ◽  
Forensic Expert ◽  
The Right

BACKGROUND: Drowning is one type of asphyxia caused by the entry of fluid into the airway. Death due to drowning is one of the hardest things that are difficult to diagnose in the field of forensic medicine, primarily if the victim found to be in a decomposed state. The state of decomposed examination often does not show typical signs. The diagnosis of drowning can be reached after considering all the results of the forensic examination including external, internal, and laboratory examinations. CASE PRESENTATION: A body has been found in the residential area on the east side of the beach, Tambaksarioso Village, Asemrowo District, on Tuesday, May 18, 2021, at 13.30 West Indonesian Time and reported to the police for investigation. The body was then identified at Dr. Soetomo General Hospital by a forensic expert. External, internal, and laboratory investigations were conducted. On external examination, the corpse was not intact, with signs of decay, saponification, and violation. In an internal examination, sand in the airways and other signs of drowning were identified. In the acid destruction test using the right femur, a positive diatom result was obtained. CONCLUSION: A complete autopsy is vital to determine the cause and mechanism of death, reconstruct the events before death, and identify the victim. It is also essential to determine whether the deceased died by drowning was alive before entering the water. All injuries suffered by the victims should be described.

Description of Diploplastron dehorityi sp. nov. (Entodiniomorphida, Ophryoscolecidae), a new rumen ciliate from Brazilian sheep (Ovis aries)

Zootaxa ◽  
2017 ◽  
Vol 4258 (6) ◽  
pp. 581 ◽  
Author(s):  
FRANCIANE CEDROLA ◽  
ROBERTO JÚNIO PEDROSO DIAS ◽  
ISABEL MARTINELE ◽  
MARTA D’AGOSTO
Keyword(s):  
New Species ◽  
Body Shape ◽  
The Body ◽  
Ovis Aries ◽  
Domestic Sheep ◽  
Diagnostic Features ◽  
Ciliate Community ◽  
The Right ◽  
A New Species

To date the genus Diploplastron comprised only one species of ophryoscolecid ciliate, Diploplastron affine, which is characterized by having two retractable ciliary zones in the anterior end of the body, two slender and juxtaposed skeletal plates on the right side, a rod shape macronucleus, and two contractile vacuoles. During study on the characterization of rumen ciliate community composition in Brazilian domestic sheep, we observed ciliates with atypical morphology but with diagnostic features of genus Diploplastron. This study describes Diploplastron dehorityi, a new species of ophryoscolecid ciliate, that differs from D. affine, primarily, in the morphology of skeletal plates, morphology of nuclear apparatus and body shape. In addition to the similarities between the new species and congener species, D. dehorityi has some morphological similarities to species of genus Eremoplastron.

scholarly journals The first case of gland inclusion in an intrapulmonary lymph node: a mimic of metastasis

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Chenglong Wang ◽  
Yijia Cao ◽  
Min Zeng ◽  
Lijuan Wang ◽  
Xiaojing Cao ◽  
...  
Keyword(s):  
Lymph Node ◽  
Mediastinal Lymph Node ◽  
Needle Aspiration ◽  
The Body ◽  
Case Presentation ◽  
Ectopic Tissue ◽  
First Case ◽  
Primary Lung Adenocarcinoma ◽  
The Right

Abstract Background Lymph node inclusions are foci of ectopic tissue in lymph nodes, which were reported in different areas of the body. However, inclusions in the mediastinal lymph node are rare. Here, we report the first case of glandular inclusion within the parenchyma of the intrapulmonary lymph node in a patient with primary lung adenocarcinoma. Case presentation A computed tomography (CT) scan showed a solid pulmonary nodule in the right upper lobe in a 44-year-old man. After a fine needle aspiration biopsy diagnosis of adenocarcinoma, lobectomy and lymph dissection were performed. Histological sections of the lung demonstrated a papillary predominant adenocarcinoma and one intrapulmonary lymph node, which displayed glandular inclusion occupying the node parenchyma. The gland inclusion was very similar to metastasis, but was formed by two layers of epithelial cells, and the abluminal cells were positive for P63, P40, and CK5/6. The patient has remained alive without recurrence and metastasis at the last follow-up before publication. Conclusions It is very important to correctly diagnose a lymph node inclusion for proper clinical management.

scholarly journals Importance Autopsy for Investigation of a Case

2016 ◽  
Vol 6 (1) ◽  
pp. 132
Author(s):  
Besim Arifi
Keyword(s):  
Cause Of Death ◽  
Human Body ◽  
The Body ◽  
Criminal Investigation ◽  
Violent Death ◽  
Court Order ◽  
Scientific Methods ◽  
External Examination ◽  
The Right ◽  
Almost All

Among the very important investigative actions is the autopsy. It is conducted by forensic doctors that work-competent. The autopsy realized with a court order and performed the function of whitening/lightening of the investigation, given that the main purpose is to conduct the autopsy the cause of death. The assignment of cause of death, carried out with scientific methods by doctors who are open corpse are able to describe all wounds and other injuries caused by any means or substance that is used in connection with the case which has caused death person. Such a finding is of particular importance, because it orients the court and the prosecution in the right direction and also helps in determining the overall investigation. The autopsy realized that almost all cases of suspected violent death of any nature whatsoever. Also it developed to see the inside of the human body, through which remain wound caused by guns or by other means, as well as those who have followed the path during the passage through the human body. During the autopsy done and external examination of the corpse underskirt any stage or time that the body was found. Even if the corpse found after a certain time is still required an examination of detail of that corpse, to examine and ascertain the condition in which it found it first and wounds that had and description of all positions these wounds. We can say that a criminal investigation is halved in terms of its validity, if in this case the information is not developed autopsy. Professional court would not accept any test given on the case, if the same does not report detailed the autopsy.

scholarly journals Primary pleomorphic liposarcoma of the liver: a case report and literature review

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Yuri Terunuma ◽  
Kazuhiro Takahashi ◽  
Manami Doi ◽  
Osamu Shimomura ◽  
Yoshihiro Miyazaki ◽  
...  
Keyword(s):  
Literature Review ◽  
Tumor Cells ◽  
Adrenocortical Carcinoma ◽  
Treatment Method ◽  
Ki 67 ◽  
Surgical Specimen ◽  
Case Presentation ◽  
S 100 ◽  
Laboratory Examinations ◽  
The Right

Abstract Background Primary liposarcoma arising from the liver is exceedingly rare. There have been very few reports documenting primary hepatic liposarcoma, especially of the pleomorphic subtype. Surgery is currently the only established treatment method, and the prognosis remains poor. In this report, we present an unusual case of hepatic liposarcoma of the pleomorphic subtype with literature review. In addition, we discuss theories regarding pathogenesis and the pathological and clinical features of primary hepatic liposarcoma to better outline this rare entity. Case presentation An asymptomatic 65-year-old female was found to have a right hepatic mass on a computed tomography scan 2 years after surgical resection of the left adrenal gland and kidney for adrenocortical carcinoma. Laboratory examinations were unremarkable. Magnetic resonance imaging demonstrated a 16-mm mass in the right hepatic lobe. Adrenocortical carcinoma metastasis was suspected. Laparoscopic partial hepatectomy completely removed the tumor with clear margins. Macroscopically, the surgical specimen contained a nodular, yellow–white mass lesion 20 mm in diameter. On pathologic examination, pleomorphic, spindle-shaped tumor cells containing hypochromatic, irregularly shaped nuclei of various sizes formed fascicular structures. Scattered lipoblasts intervened in varying stages. Mitotic cells were frequent. Ki-67 labeling index was 15%. Immunohistochemically, the tumor cells were diffusely positive for vimentin and focally positive for CD34 and alpha-SMA; lipoblasts were focally positive for S-100. Tumor cells were nonreactive for SF-1, inhibin alpha, desmin, HHF35, HMB45, Melan A, MITF, c-kit, DOG1, cytokeratin AE1/AE3, h-caldesmon, STAT6, CD68, MDM2, CDK4, c17, DHEAST, 3BHSD, CD31, Factor 8, and ERG. From these findings, primary hepatic liposarcoma of pleomorphic subtype was diagnosed. The tumor recurred intrahepatically 3 years later, and the patient died 5 months after recurrence. Conclusions In our report, we discussed the rarity, theories regarding pathogenesis, and a review of the literature of this atypical condition. To the best of our search, this is the 14th case of primary hepatic liposarcoma and the 2nd case of the pleomorphic subtype reported throughout the world. Further research regarding the etiology of this unusual clinical entity is warranted to establish effective diagnostic and management protocols.

scholarly journals Importance Autopsy for Investigation of a Case

2016 ◽  
Vol 2 (4) ◽  
pp. 132
Author(s):  
Besim Arifi
Keyword(s):  
Cause Of Death ◽  
Human Body ◽  
The Body ◽  
Criminal Investigation ◽  
Violent Death ◽  
Court Order ◽  
Scientific Methods ◽  
External Examination ◽  
The Right ◽  
Almost All

Among the very important investigative actions is the autopsy. It is conducted by forensic doctors that work-competent. The autopsy realized with a court order and performed the function of whitening/lightening of the investigation, given that the main purpose is to conduct the autopsy the cause of death. The assignment of cause of death, carried out with scientific methods by doctors who are open corpse are able to describe all wounds and other injuries caused by any means or substance that is used in connection with the case which has caused death person. Such a finding is of particular importance, because it orients the court and the prosecution in the right direction and also helps in determining the overall investigation. The autopsy realized that almost all cases of suspected violent death of any nature whatsoever. Also it developed to see the inside of the human body, through which remain wound caused by guns or by other means, as well as those who have followed the path during the passage through the human body. During the autopsy done and external examination of the corpse underskirt any stage or time that the body was found. Even if the corpse found after a certain time is still required an examination of detail of that corpse, to examine and ascertain the condition in which it found it first and wounds that had and description of all positions these wounds. We can say that a criminal investigation is halved in terms of its validity, if in this case the information is not developed autopsy. Professional court would not accept any test given on the case, if the same does not report detailed the autopsy.

scholarly journals ON THE ISSUE OF EVALUATING THE FORENSIC STRUCTURAL ENGINEERING RESULTS IN CRIMINAL PROCEEDINGS

2020 ◽  
Vol 21 (1) ◽  
pp. 92-105
Author(s):  
D. Puchko
Keyword(s):  
Structural Engineering ◽  
Criminal Procedure ◽  
The Body ◽  
Criminal Proceedings ◽  
Procedure Code ◽  
False Report ◽  
Criminal Procedure Law ◽  
Forensic Expert ◽  
Court Proceedings ◽  
The Right

Problematic issues of forensic structural engineering as a source of evidence while criminal proceedings in the aspect of evaluating its results have been analyzed. Taking into account the relevance of this type of forensic examination both for the investigation of criminal proceedings and for other types of court proceedings, main provisions concerning evaluation of a forensic report in the field of forensic structural engineering are considered. Relevant norms of the Criminal Procedure Code of Ukraine and of some foreign countries have been studied. It is concluded that, in fact, the approaches to the preparation of forensic report content are similar to the corresponding norms of the Ukrainian criminal procedure law. Certain discrepancies relate to the content of the report examination part – in some countries it does not contain a detailed description of the research course. In addition, according to Art. 242 of the Criminal Procedure Code of Ukraine, a defense can independently engage a forensic expert, therefore, Art. 102 needs improvement. And since the defense party is not endowed with the right to warn a forensic expert about responsibility for a knowingly false report and refusal without valid reasons to fulfill duties assigned to him, then the indicated norm must be supplemented for such cases – in the aspect of the forensic expert awareness on such responsibility. It is specified that the body (person) that appoints the forensic structural engineering  examination does not always ask a forensic expert questions within the framework of the subject of proof. Admissibility of evidence is primarily determined by its receipt based on compliance with law. The grounds are provided that may serve as a reason for accepting the forensic report as inadmissible evidence in the field of forensic structural engineering.

scholarly journals Giant Seborrheic Keratosis on the Right Flank Part: A Case Report

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Nazaninzahra Sepehri ◽  
Sepideh Babaniamansour ◽  
Sepideh Karkon-Shayan ◽  
Mohammadreza Majidi ◽  
Ahmadreza Atarodi ◽  
...  
Keyword(s):  
Rare Case ◽  
Sun Exposure ◽  
The Body ◽  
Seborrheic Keratosis ◽  
Rare Type ◽  
Case Presentation ◽  
Color Changes ◽  
Rapid Enlargement ◽  
The Right ◽  
Clinical Changes

Introduction: Seborrheic keratosis (SK) is one of the most common non-cancerous lesions that appears on the sun-exposure areas of the body and highly prevalent among the middle-aged population. It is the result of the hyperproliferation of keratinocytes. The clinical changes in SK lesions such as sudden growth, color changes, and ulcerations are accompanied by malignancies. Case Presentation: This study presents a rare case of giant SK on the flank part with rapid enlargement. The manifestations were in favor of malignancy and the patient underwent biopsy and total excision with a good outcome. Conclusions: Giant SK is a rare type of SK that has various similarities with malignant masses and requires further investigation.

scholarly journals A Case of Incomplete and Atypical Kawasaki Disease Presenting with Retropharyngeal Involvement

2019 ◽  
Vol 16 (18) ◽  
pp. 3262
Author(s):  
Chiara Isidori ◽  
Lisa Sebastiani ◽  
Susanna Esposito
Keyword(s):  
Kawasaki Disease ◽  
Delayed Diagnosis ◽  
Cervical Lymphadenopathy ◽  
Intravenous Immunoglobulins ◽  
Case Presentation ◽  
Clinical Criteria ◽  
Atypical Kawasaki Disease ◽  
Laboratory Examinations ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

Background: Kawasaki disease (KD) is a childhood acute febrile vasculitis of unknown aetiology. The diagnosis is based on clinical criteria, including unilateral cervical lymphadenopathy, which is the only presenting symptom associated with fever in 12% of cases. A prompt differential diagnosis distinguishing KD from infective lymphadenitis is therefore necessary to avoid incorrect and delayed diagnosis and the risk of cardiovascular sequelae. Case presentation: We describe the case of a 4 years old boy presenting with febrile right cervical lymphadenopathy, in which the unresponsiveness to broad-spectrum antibiotics, the following onset of other characteristic clinical features and the evidence on the magnetic resonance imaging (MRI) of retropharyngeal inflammation led to the diagnosis of incomplete and atypical KD. On day 8 of hospitalisation (i.e., 13 days after the onset of symptoms), one dose of intravenous immunoglobulins (IVIG; 2 g/kg) was administered with rapid defervescence, and acetylsalicylic acid (4 mg/kg/day) was started and continued at home for a total of 8 weeks. Laboratory examinations revealed a reduction in the white blood cell count and the levels of inflammatory markers, thrombocytosis, and persistently negative echocardiography. Clinically, we observed a gradual reduction of the right-side neck swelling. Fifteen days after discharge, the MRI of the neck showed a regression of the laterocervical lymphadenopathy and a resolution of the infiltration of the parapharyngeal and retropharyngeal spaces. Conclusion: Head and neck manifestations can be early presentations of KD, which is frequently misdiagnosed as suppurative lymphadenitis or retropharyngeal infection. A growing awareness of the several possible presentations of KD is therefore necessary. Computed tomography (CT) or MRI can be utilised to facilitate the diagnosis.

scholarly journals Review Adult Upper-limb Forearm Cystic Lymphangioma (Cystic Hygroma): A Case Report

2021 ◽  
Author(s):  
Kai Cui ◽  
Yingkang Zhu ◽  
Fatai Lu ◽  
Rui Wang ◽  
Haifei Zhang ◽  
...  
Keyword(s):  
Endothelial Cells ◽  
Clinical Symptoms ◽  
Radical Resection ◽  
Cystic Hygroma ◽  
Cystic Lymphangioma ◽  
The Body ◽  
Incomplete Resection ◽  
Case Presentation ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

Abstract Background: Cystic lymphangioma that is the most common type of lymphangioma, but it rarely occurs in the forearm. It may show localized invasive behavior, but is benign. Case presentation: A 42-year-old woman was admitted to the hospital because she had discovered a right forearm mass approximately 3 years earlier.Ultrasound had shown a subcutaneous hypoechoic strip on the right forearm (nature to be determined). Magnetic resonance imaging (MRI) showed characteristics of a lymphangioma with irregular strips, and surrounding irregular small blood vessels showed hypointensity or isointensity relative to the T1-weighted imaging (WI) signals for nearby muscle and hyperintensity on T2WI.Hematoxylin–eosin (H&E) staining showed a dilated cystic space lined with flat endothelial cells, and the cyst wall was rich in mature lymphocytes, smooth muscle, and irregular fatty small cysts.Immunohistochemical (IHC) staining of monoclonal antibody D2-40–labeled cystic lymphangioma endothelial cells was performed and showed focal expression of D2-40.Conclusions: The atypicality of clinical symptoms and imaging findings makes preoperative diagnosis difficult, so histological examination is necessary for the diagnosis of cystic lymphangioma. At present, if the disease affects the function or appearance of the body, the ideal treatment is radical resection to reduce recurrence. Incomplete resection causes relapse of the disease.

Aspergillus Spondylodiscitis After Spinal Stenosis Surgery: A Case Report

2020 ◽  
Vol 5 (3 And 4) ◽  
pp. 155-160
Author(s):  
Mohsen Aghapoor ◽  
◽  
Babak Alijani Alijani ◽  
Mahsa Pakseresht-Mogharab ◽  
◽  
...  
Keyword(s):  
Antifungal Drugs ◽  
The Body ◽  
Lower Limbs ◽  
Lumbar Pain ◽  
Case Presentation ◽  
Delay In Diagnosis ◽  
Death Case ◽  
Therapeutic Results ◽  
History Of ◽  
Probable Diagnosis

Background and Importance: Spondylodiscitis is an inflammatory disease of the body of one or more vertebrae and intervertebral disc. The fungal etiology of this disease is rare, particularly in patients without immunodeficiency. Delay in diagnosis and treatment of this disease can lead to complications and even death. Case Presentation: A 63-year-old diabetic female patient, who had a history of spinal surgery and complaining radicular lumbar pain in both lower limbs with a probable diagnosis of spondylodiscitis, underwent partial L2 and complete L3 and L4 corpectomy and fusion. As a result of pathology from tissue biopsy specimen, Aspergillus fungi were observed. There was no evidence of immunodeficiency in the patient. The patient was treated with Itraconazole 100 mg twice a day for two months. Pain, neurological symptom, and laboratory tests improved. Conclusion: The debridement surgery coupled with antifungal drugs can lead to the best therapeutic results.

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