Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Forensic Science, Medicine and Pathology
Published in: Forensic Science, Medicine and Pathology 3/2019

01-09-2019 | Images in Forensics

Differential intimal staining of the aortic root and pulmonary trunk following pulmonary thromboembolism

Author: Roger W. Byard

Published in: Forensic Science, Medicine and Pathology | Issue 3/2019

Login to get access

Abstract

A 68-year-old woman with a history of osteoarthritis and morbid obesity (BMI 48.1) who collapsed at her home address was found at autopsy to have to bilateral pulmonary thromboemboli. In addition, she had striking red staining of the aortic outflow tract intima with a normal cream/white pulmonary outflow tract. Although such differential staining of the lining of the great vessel is a feature of fresh water drowning associated with hypo-osmolarity of aortic blood, this case clearly demonstrates that this, along with other features that may be characteristic of drowning, are neither specific nor diagnostic.
Literature
1.
Tsokos M, Cains G, Byard RW. Hemolytic staining of the intima of the aortic root in freshwater drowning — a retrospective study. Am J Forensic Med Pathol. 2008;29:128–30.
2.
3.
Dettling J, Schönberg S, Schwarz F. Lehrbuch der Gerichtlichen Medizin. Basel: Karger; 1951. p. 300.
4.
Ponsold A. Ertrinken. In: Ponsold A, editor. Lehrbuch der Gerichtlichen Medizin einschliesslich der ärztlichen Rechtskunde und der Versicherungsmedizin. Stuttgart: Thieme; 1957. p. 375–87.
5.
Ertrinken SE. Der Tod im Wasser. In: Forster B, editor. Praxis der Rechtsmedizin für Mediziner und Juristen. Stuttgart. New York: Thieme; 1986. p. 143–54.
6.
Henßge C, Madea B. Methoden zur Bestimmung der Todeszeit an Leichen. Lübeck: Schmidt Römhild; 1988. p. 126.
7.
Polson CJ, Gee DJ, Knight B. The essentials of forensic medicine. 4th ed. Oxford: Pergamon Press; 1985. p. 432.
8.
Gresham GA. A colour atlas of forensic pathology. London: Wolfe Medical Publications Ltd; 1975. p. 238.
9.
Gee DJ. Lecture notes on forensic medicine. 4th ed. Oxford: Blackwell Scientific Publications; 1984. p. 131.
10.
Pollak S, Saukko P. Atlas of forensic medicine. London: Elsevier; 2003.
11.
Byard RW, Cains G, Tsokos M. Haemolytic staining of the intima of the aortic root — a useful pathological marker of fresh water drowning? J Clin Forensic Med. 2006;12:125–8.
12.
Zátopková L, Hejna P, Janík M. Hemolytic staining of the endocardium of the left heart chambers: a new sign for autopsy diagnosis of freshwater drowning. Forensic Sci Med Pathol. 2015;11:65–8.CrossRefPubMed
13.
Rosenfeld H, Tsokos M, Byard RW. The association between body mass index and pulmonary thromboembolism in an autopsy population. J Forensic Sci. 2012;57:1336–8.CrossRefPubMed
14.
Zhou C, Byard RW. Factors and processes causing accelerated decomposition in human cadavers. An overview. J Forensic Legal Med. 2011;18:6–9.CrossRef
15.
Byard RW. Immersion deaths and drowning — issues arising in the investigation of bodies recovered from water. Forensic Sci Med Pathol. 2015;(3):442–4.
Metadata
Title
Differential intimal staining of the aortic root and pulmonary trunk following pulmonary thromboembolism
Author
Roger W. Byard
Publication date
01-09-2019
Publisher
Springer US
Published in
Forensic Science, Medicine and Pathology / Issue 3/2019
Print ISSN: 1547-769X
Electronic ISSN: 1556-2891
DOI
https://doi.org/10.1007/s12024-018-0022-7

Other articles of this Issue 3/2019

Forensic Science, Medicine and Pathology 3/2019 Go to the issue

Technical Report

Rapid detection of pathogenic virus genome sequence from throat and nasal swab samples using an exhaustive gene amplification method

Images in Forensics

Penile carcinoma – a rare cause of sudden death

Original Article

Magnetic resonance imaging of the proximal tibial epiphysis: could it be helpful in forensic age estimation?

Commentary

Genetic testing in sudden unexpected natural death in the young: New York City Office of Chief Medical Examiner’s experience and perspective

Original Article

The role of voluntary and involuntary drug and alcohol consumption and premorbid mental health factors in drug-facilitated sexual assault

Original Article

Postmortem diagnosis of fatal hypothermia/hyperthermia by spectrochemical analysis of plasma