論文

査読有り 国際誌
2016年5月

A rare autopsy case of traumatic rhabdomyolysis associated with intermittent assault.

Legal medicine (Tokyo, Japan)
  • Fumiko Chiba
  • Yohsuke Makino
  • Ayumi Motomura
  • Go Inokuchi
  • Namiko Ishii
  • Suguru Torimitsu
  • Yumi Hoshioka
  • Hiroko Abe
  • Rutsuko Yamaguchi
  • Mari Hashimoto
  • Ayaka Sakuma
  • Sayaka Nagasawa
  • Hisako Saito
  • Daisuke Yajima
  • Hirotaro Iwase
  • 全て表示

20
開始ページ
40
終了ページ
3
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.legalmed.2016.04.001

Traumatic rhabdomyolysis generally occurs after severe blunt trauma and is acute in onset, associated with severe disease, and potentially lethal. Accordingly, diagnosis of traumatic rhabdomyolysis in patients without massive subcutaneous or intramuscular hemorrhage is difficult, especially in the postmortem period, which is limited in terms of the availability of biochemical examination tools and accurate history of illness. To the best of our knowledge, there are no previous reports of death from traumatic rhabdomyolysis among individuals who did not pursue medical consultation. A previously healthy man in his early sixties had been punched and kicked several times in the previous 2months, but he had not gone to a hospital. He suddenly lost consciousness at his workplace approximately 5days after the most recent assault, and cardiopulmonary arrest occurred when the emergency service arrived. He died the same day, and a medicolegal autopsy was performed. Although several sites of minor subcutaneous and muscle hemorrhage were observed, the cause of death was unclear upon macroscopic assessment. Immunohistochemical staining revealed acute renal failure caused by rhabdomyolysis. We herein report a rare case of fatal traumatic rhabdomyolysis, seemingly associated with minor and apparently nonlethal muscle injury.

リンク情報
DOI
https://doi.org/10.1016/j.legalmed.2016.04.001
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/27161922
ID情報
  • DOI : 10.1016/j.legalmed.2016.04.001
  • PubMed ID : 27161922

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