Sudden death in a patient with idiopathic scoliosis

Fumiko Satoh, Masaki Q. Fujita, Yoshihisa Seto, Akio Tsuboi, Sanae Takeichi

研究成果: Article査読

2 被引用数 (Scopus)

抄録

We report an autopsy case of sudden death in a 36-year-old craftsman with idiopathic scoliosis. The doctor identified his scoliosis at the age of thirteen, and he was under medical care for three years until he stopped consulting the doctor. He collapsed while walking at the station and was sent to an emergency room in cardiopulmonary arrest state, where he was declared dead in spite of more than an hour of CPR. Numbers of petechiae were seen on the bilateral palpebral conjunctivae and the lips were cyanotic. There were no particular injuries except for small abrasions observed on the face. The back showed right rib hump owing to midthoracic scoliosis (with 73° of Cobb's angle) and right hemithorax was deformed showing an appearance of pectus excavatum in the front. The volume of the right thoracic cavity was significantly decreased. In the right lung, there was extensive stromal fibrosis, leaving almost no normal alveolar structures, and medial hypertrophy of pulmonary arteriolar walls. Hypertrophy of the right heart ventricle due to these pulmonary changes and the congestion of other organs suggested that the cause of death in this case was cor pulmonale due to pulmonary hypertension. This was a rare case of fatal outcome of advanced idiopathic scoliosis without medical care in spite of early detection through mass screening.

本文言語English
ページ(範囲)335-338
ページ数4
ジャーナルJournal of Clinical Forensic Medicine
13
6-8
DOI
出版ステータスPublished - 2006 8月

ASJC Scopus subject areas

  • 病理学および法医学
  • 遺伝学
  • 公衆衛生学、環境および労働衛生
  • 精神医学および精神衛生

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