Unusual Deaths Associated with Polyphagia
作者:
Jay Barnhart,
Roger Mittleman,
期刊:
The American Journal of Forensic Medicine and Pathology
(OVID Available online 1986)
卷期:
Volume 7,
issue 1
页码: 30-34
ISSN:0195-7910
年代: 1986
出版商: OVID
数据来源: OVID
摘要:
Perversion of appetite may be manifest in either qualitative (pica), quantitative (polyphagia), or combined derangements of eating. Ingested materials are capable of serving as dangerous physical agents through interference with normal cardiac and/or respiratory function. Since the mechanisms of injury are similar to those that might occur as a result of violence or serious natural disease, a thorough investigation of the history and circumstances immediately preceding the final event is warranted in addition to a complete autopsy. Three cases of asphyxia of unusual etiology are presented along with a rationale regarding the mechanisms believed to be involved. In case 1, sudden subdiaphragmatic viscus expansion with resultant lung volume displacement and impediment of venous return from the lower half of the body are believed to have been operative. In cases 2 and 3, both asphyxial loci are infraglottic. The common denominator in all of these fatalities is the physical impairment of vital air exchange as a complication of an abnormal eating pattern.
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