An autopsy case of decompression sickness: Hemorrhages in the fat tissue and fat embolism

作者: Kenji Ninomiya , Yoko Ihama , Kenji Yamagata , Maki Fukasawa , Takumi Nagai

DOI: 10.4323/RJLM.2013.23

关键词:

摘要: We present an autopsy case of decompression sickness (DCS). A man in his 50s who was a professional diver died cardiopulmonary arrest on ship after solo recreational diving with hookah dive system. Although he transported to medical facility, confirmed dead approximately 1 h arrest. At autopsy, the following findings were observed: skin discoloration subcutaneous hemorrhages; diffuse bleeding epicardial fat, greater omentum, and mesentery; fat emboli kidneys; numerous bubbles blood vessels. These findings, combined those on-scene investigation, led conclusion that subject DCS. The deceased had two distinctive related fat: hemorrhages tissue embolism. suggest these are vital reactions indicative Key W ords: sickness, illness, tissue, embolism, diving, autopsy.

参考文章(14)
C. D. Brown, Watson Kime, E. L. Sherrer, Postmortem intravascular bubbling: a decompression artifact? Journal of Forensic Sciences. ,vol. 23, pp. 511- 518 ,(1978) , 10.1520/JFS10699J
S. S. Shim, F. P. Patterson, M. J. Kendall, Hyperbaric chamber and decompression sickness: an experimental study Canadian Medical Association Journal. ,vol. 97, pp. 1263- 1272 ,(1967)
T. Bajanowski, A. West, B. Brinkmann, Proof of fatal air embolism. International Journal of Legal Medicine. ,vol. 111, pp. 208- 211 ,(1998) , 10.1007/S004140050153
J Oliver, TJ Lyons, R Harle, The role of computed tomography in the diagnosis of arterial gas embolism in fatal diving accidents in Tasmania. Journal of Medical Imaging and Radiation Oncology. ,vol. 43, pp. 37- 40 ,(1999) , 10.1046/J.1440-1673.1999.00615.X
Webb Haymaker, Charles Davison, Fatalities resulting from exposure to simulated high altitudes in decompression chambers; a clinicopathologic study of five cases. Journal of Neuropathology and Experimental Neurology. ,vol. 9, pp. 29- 59 ,(1950) , 10.1097/00005072-195001000-00003
H Nakayama, M Shibayama, N Yamami, S Togawa, M Takahashi, Y Mano, Decompression sickness and recreational scuba divers Emergency Medicine Journal. ,vol. 20, pp. 332- 334 ,(2003) , 10.1136/EMJ.20.4.332
Motoo Kitano, Ko Hayashi, ACUTE DECOMPRESSION SICKNESS Pathology International. ,vol. 31, pp. 269- 276 ,(1981) , 10.1111/J.1440-1827.1981.TB01371.X
Sybille Lüderwald, Bettina Zinka, Fatal diving accidents: two case reports and an overview of the role of forensic examinations. Forensic Science International. ,vol. 180, ,(2008) , 10.1016/J.FORSCIINT.2008.06.011
Lyndsae Clair Wheen, Michael Philip Williams, Post-mortems in recreational scuba diver deaths: the utility of radiology Journal of Forensic and Legal Medicine. ,vol. 16, pp. 273- 276 ,(2009) , 10.1016/J.JFLM.2008.12.011
J. R. Clay, HISTOPATHOLOGY OF EXPERIMENTAL DECOMPRESSION SICKNESS. Aerospace medicine. ,vol. 34, pp. 1107- 1110 ,(1963)