Die Pathologie der Unterkühlung

Büchner, Franz

doi:10.1007/bf02038988

Cited by 38 publications

(14 citation statements)

References 21 publications

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“…While the histological features of Wischnewski spots have been described as involving infarction [26], necrosis of gastric glands [123] and erosions [100], more recent investigations found no erosions, ulcers or necrosis, using cases with genuine erosions as controls [124,125]. Wischnewski spots were found to be almost undetectable at routine histology.…”

Section: Further Postmortem Examinationsmentioning

confidence: 97%

“…The diagnosis therefore has to be made after careful consideration of the history, the circumstances at the scene and a thorough postmortem examination to rule out other causes of death, and must sometimes be established based on probabilities rather than unambiguous proof [8,103]. In general, the findings occur more frequently and are more pronounced in cases of moderate ambient temperatures with slow development of hypothermia [26,[104][105][106][107]. If hypothermia is survived for some time and a patient receives medical treatment, postmortem findings will most likely be absent.…”

Section: Postmortem Examinationmentioning

confidence: 99%

“…Tissue damage in localized hypothermia is a sequel of direct cell damage due to freezing temperatures and changes in microcirculation during and after cold exposure with peripheral vasoconstriction, endothelial cell and nerve damage, and edema. These effects are aggravated by the formation of intravascular sludge due to the presence of cold agglutinins [26][27][28][29][30]. At temperatures below 0°C, freezing of extracellular fluid and cell damage are the major determinants of the extent of injury [31][32][33].…”

Section: Effects Of Hypothermia On the Human Bodymentioning

confidence: 99%

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Hypothermia

Türk

2010

Forensic Sci Med Pathol

135

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Hypothermia refers to a situation where there is a drop in body core temperature below 35 degrees C. It is a potentially fatal condition. In forensic medicine and pathology, cases of hypothermia often pose a special challenge to experts because of their complex nature, and the often absent or nonspecific nature of morphological findings. The scene of the incident may raise suspicions of a crime initially, due to phenomena such as terminal burrowing behavior and paradoxical undressing. An element of hypothermia often contributes to the cause of death in drug- and alcohol-related fatalities, in the homeless, in immersion deaths, in accidents and in cases of abuse or neglect, making the condition extremely relevant to forensic medical specialists. The aim of this review is to give an overview of the pathophysiological aspects of hypothermia and to illustrate different aspects relevant to forensic medical casework.

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Section: Further Postmortem Examinationsmentioning

confidence: 97%

Section: Postmortem Examinationmentioning

confidence: 99%

Section: Effects Of Hypothermia On the Human Bodymentioning

confidence: 99%

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Hypothermia

Türk

2010

Forensic Sci Med Pathol

135

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“…However, in some cases, especially after a rapid drop of body core temperature, typical macroscopic autopsy findings are missing. Accordingly, forensic pathologists have been searching for additional macroscopic and histological findings related to fatal hypothermia for decades [6], e.g., for hemorrhage in core muscles [7], a difference in the color of blood from the right and left ventricle [8], hemorrhagic pancreatitis [9], depletion of thyroid colloid [10], depletion of the cells of the adrenal cortex [11] and hemorrhage and vacuolization of the pituitary gland [12,13].…”

Section: Introductionmentioning

confidence: 99%

The diagnostic value of synovial membrane hemorrhage and bloody discoloration of synovial fluid (“inner knee sign”) in autopsy cases of fatal hypothermia

2012

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We describe and discuss autopsy findings of synovial membrane hemorrhage and bloody discoloration of synovial fluid ("inner knee sign") within a study population comprising 36 cases of fatal hypothermia and 300 control cases. Synovial membrane hemorrhage and bloody discoloration of synovial fluid of the knees were seen in 27 cases of fatal hypothermia (75%). Though we are not dealing here with an obligatory autopsy finding in fatal hypothermia, the detection of the inner knee sign might be used as another corroborative sign of vital hypothermia after considering all differential diagnostic aspects. However, the absence of this finding does not exclude death due to hypothermia.

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“…Как некроз клиновидной формы, образу-ющийся в результате инфаркта слизистой оболочки, ПВ описывали F. Büchner [24], М.И. Касьянов [14], В.П.…”

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Vishnevsky’s spots: the history of discovery and the modern theories of their development (the analytical review)

Ev¹,

Em²

2015

Sud.-med. ekspert.

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e.v. TumanOv, e.m. kIL'DYuShOv n.I. Pirogov russian national research medical university, russian ministry of health, moscow, russia, 117997; Bureau of Forensic medical expertise, moscow health Department, moscow, russia, 115516Цель работы -проанализировать основные теории патогенеза повреждений слизистой желудка при переохлаждении (пятен Вишневского). Отмечено, что на сегодняшний день ни одна из предложенных теорий не может в полной мере объяснить как все варианты развития пятен Вишневского, так и в полной мере -механизм их образования. Ключевые слова: пятна Вишневского, переохлаждение.The objective of the present study was to analyse the modern pathogenetic theories of the mechanisms underlying the development of the lesions in the gastric mucosa (the so-called Vishnevsky's spots) under effect of overcooling. It is emphasized that none of the currently available theories comprehensively accounts for different forms and scenarios of the development of Vishnevsky's spots.

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Die Pathologie der Unterkühlung

Cited by 38 publications

References 21 publications

Hypothermia

Hypothermia

The diagnostic value of synovial membrane hemorrhage and bloody discoloration of synovial fluid (“inner knee sign”) in autopsy cases of fatal hypothermia

Vishnevsky’s spots: the history of discovery and the modern theories of their development (the analytical review)

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