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|Title:||Forensic features of lethal late-presenting diaphragmatic hernias|
|Citation:||Journal of Forensic Sciences, 2016; 61(5):1261-1265|
|Melissa Thompson, Stephen Wills and Roger W. Byard|
|Abstract:||Diaphragmatic defects are a relatively common and benign finding in adults which may be congenital or secondarily acquired. The case files at Forensic Sciences South Australia were reviewed over a 10-year period from July 2005 to June 2015 for all adult (>17 years) cases in which diaphragmatic hernias were identified at postmortem examination that had either caused or contributed to death. Five cases were found: age range 49-90 years (average 67.2 years); male:female ratio 2:3. Herniated organs included the stomach (N = 3), small (N = 3) and large intestines (N = 2). Mechanisms of death involved lung compression with respiratory failure and/or mediastinal shift, and vascular compromise with gastric or intestinal infarction and/or perforation. Diaphragmatic hernias may not be identified until the time of autopsy and may be quite complex entities to evaluate due to a lack of clinical history and to difficulties in determining their origin and possible contributions to mechanisms of death.|
|Keywords:||Forensic science; diaphragm; hernia; perforation; lung compression; death|
|Rights:||© 2016 American Academy of Forensic Sciences|
|Appears in Collections:||Medicine publications|
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