Pulmonary embolism: A case of sudden unexpected death in a psychiatric hospital

Masaki Q Fujita, Bao Li Zhu, Li Quan, Kaori Ishida, Shigeki Oritani, Histoshi Maeda

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

We report a case of suspected fatal physical abuse in which the cause of death was proved to be pulmonary embolism. A patient with mental retardation presenting aggressive behavior was admitted to a psychiatric hospital and was treated with major tranquilizers. She suddenly died subsequent to an angina-like attack. For several days before her death, she had been confined to her bed because of very low physical and mental activity. Bruises and abrasions were observed on the extremities, suggesting the recent restraints. There was no positive evidence of physical abuse. At autopsy, the cause of death was elucidated to be pulmonary embolism originating from thrombi in the left popliteal vein. This case indicates the risk of pulmonary embolism in immobilized patients in psychiatric hospitals.

Original languageEnglish
Pages (from-to)176-179
Number of pages4
JournalLegal Medicine
Volume1
Issue number3
DOIs
Publication statusPublished - 1999
Externally publishedYes

Fingerprint

Psychiatric Hospitals
Sudden Death
Pulmonary Embolism
Cause of Death
Popliteal Vein
Contusions
Intellectual Disability
Antipsychotic Agents
Autopsy
Thrombosis
Extremities
Exercise
Physical Abuse

Keywords

  • Forensic pathology
  • Psychiatric disease
  • Pulmonary embolism
  • Sudden death

ASJC Scopus subject areas

  • Genetics
  • Pathology and Forensic Medicine
  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health

Cite this

Pulmonary embolism : A case of sudden unexpected death in a psychiatric hospital. / Fujita, Masaki Q; Zhu, Bao Li; Quan, Li; Ishida, Kaori; Oritani, Shigeki; Maeda, Histoshi.

In: Legal Medicine, Vol. 1, No. 3, 1999, p. 176-179.

Research output: Contribution to journalArticle

Fujita, Masaki Q ; Zhu, Bao Li ; Quan, Li ; Ishida, Kaori ; Oritani, Shigeki ; Maeda, Histoshi. / Pulmonary embolism : A case of sudden unexpected death in a psychiatric hospital. In: Legal Medicine. 1999 ; Vol. 1, No. 3. pp. 176-179.
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