Fatal asphyxia by complete laryngeal obstruction due to chewing-gum aspiration in an adult woman. Case Report

被引：4

作者：

Barbera, Nunziata ^{[1
]}

机构：

[1] Univ Catania, Dept GF Ingrassia, I-95123 Catania, Italy

来源：

ROMANIAN JOURNAL OF LEGAL MEDICINE | 2012年 / 20卷 / 01期

关键词：

lethal asphyxia; complete laryngeal obstruction; choking; chewing-gum; FOREIGN-BODY; CHOKING; DEATHS;

D O I：

10.4323/rjlm.2012.33

中图分类号：

DF [法律]; D9 [法律]; R [医药、卫生];

学科分类号：

0301 ; 10 ;

摘要：

In the present study, a 42 y.o. woman lethal case by aspiration of a foreign body is reported. During the autopsy, a large chewing-gum piece was found above the aditus ad laringem, so as to completely obstruct its access, causing a lethal respiratory insufficiency. The anatomopathological exam of the lungs showed the signs of acute asphyxia. The toxicological analyses of blood and urine samples were negative for drugs and/or ethanol. An accurate literature study allowed to show that this case represents the second lethal event related to the aspiration of a chewing gum in an adult subject, and the first related to the complete obstruction of the aditus ad laringem.

引用

页码：33 / 36

页数：4

共 15 条

[1]

Arbarello P, 2005, MED LEGALE, P343

[2] Foreign body asphyxiation - An autopsy study [J].

Berzlanovich, AM ;

Muhm, V ;

Sim, E ;

Bauer, G .

AMERICAN JOURNAL OF MEDICINE, 1999, 107 (04) :351-355

[3] Foreign body asphyxia -: A preventable cause of death in the elderly [J].

Berzlanovich, AM ;

Fazeny-Dörner, B ;

Waldhoer, T ;

Fasching, P ;

Keil, W .

AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2005, 28 (01) :65-69

[4] Mechanical airway obstruction caused by accidental aspiration of part of a ballpoint pen [J].

Bhana, BD ;

Gunaselvam, JG ;

Dada, MA .

AMERICAN JOURNAL OF FORENSIC MEDICINE AND PATHOLOGY, 2000, 21 (04) :362-365

[5] Tracheotomy for a foreign body in the larynx [J].

Chrcanovic B.R. ;

Souza L.N. .

Oral and Maxillofacial Surgery, 2009, 13 (1) :55-58

[6] Deaths associated with choking in San Diego County [J].

Dolkas, Laura ;

Stanley, Christina ;

Smith, Alan M. ;

Vilke, Gary M. .

JOURNAL OF FORENSIC SCIENCES, 2007, 52 (01) :176-179

[7] Inhaled foreign bodies. [J].

Donato, L ;

Weiss, L ;

Bing, J ;

Schwarz, E .

ARCHIVES DE PEDIATRIE, 2000, 7 :56S-61S

[8]

EKBERG O, 1992, Dysphagia, V7, P205, DOI 10.1007/BF02493471

[9] FOOD ASPHYXIATION - RESTAURANT RESCUE [J].

ELLER, WC ;

HAUGEN, RK .

NEW ENGLAND JOURNAL OF MEDICINE, 1973, 289 (02) :81-82

[10] Preoperative chewing gum and foreign body airway obstruction [J].

Haftoura, Evaggelia ;

Pourzitaki, Chryssa ;

Logotheti, Helena ;

Aroni, Filippia ;

Arambatzis, Panagiotis .

JOURNAL OF ANESTHESIA, 2008, 22 (04) :479-480

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