TY  - JOUR
A1  - Mittal, Pawan
A1  - Bohnert, Michael
T1  - Intramuscular hemorrhages in the pathway of an electric current through the body - two case reports
JF  - Forensic Science, Medicine and Pathology
N2  - Intramuscular hemorrhages at autopsy can have a variety of traumatic as well as non-traumatic causes, but their recognition in electrical deaths is almost a rarity. We report on two autopsy cases of electrical fatalities, the first relating to a portion of the right upper human extremity, consisting (only) of the forearm and hand, while the other case relates to a female child who died after a high voltage electrical shock. In both cases, layered dissection of the upper limb revealed fresh intramuscular hemorrhages in the skeletal muscles that could be topographically related to the path taken by the current through the body. Externally visible electric marks were present in both cases. The hemorrhages were most likely caused by current-induced tetanic muscle contractions, producing an internal muscle trauma with rupture of fibers and bleedings. In complex situations, such as inconspicuous marks or a complete lack of visible signs on the body, the finding may be helpful in solving the case in consideration of the case history and circumstances. The vitality, topography, and pattern of the hemorrhages are discussed in the light of the available literature.
KW  - electrocution
KW  - layered dissection
KW  - intramuscular hemorrhage
KW  - tetany
Y1  - 2023
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-325019
VL  - 19
IS  - 1
ER  - 
TY  - JOUR
A1  - Stock, Benjamin
A1  - Möckel, Sigrid
A1  - Zander, Christine
A1  - Heinsen, Helmut
A1  - Bohnert, Simone
A1  - Bohnert, Michael
T1  - „Black esophagus“ – zwei Obduktionsfälle mit infektiöser Beteiligung
JF  - Rechtsmedizin
N2  - „Black esophagus“ oder „akute Ösophagusnekrose“ (AÖN) ist eine seltene Erkrankung, die sich makroskopisch durch eine zirkumferente Schwarzverfärbung der Ösophagusmukosa mit abruptem Ende am gastroösophagealen Übergang auszeichnet. Die genaue Pathogenese ist unbekannt; es werden multifaktorielle Einflüsse wie z. B. Säurereflux, Ischämie und verringerte Schutzmechanismen der Mukosa als mögliche Ursachen diskutiert.

Vorgestellt werden 2 Obduktionsfälle, die typische Befunde einer AÖN aufwiesen. Zusätzlich hatten Fall 1 eine Candida-Infektion und Fall 2 eine Appendizitis, sodass eine infektiöse Genese in beiden Fällen eine Rolle gespielt haben könnte.
N2  - Black esophagus, also known as acute esophageal necrosis, is a rare disease characterized by a circumferential black discoloration of the esophageal mucosa with an abrupt stop at the gastroesophageal junction. The exact pathogenesis is unknown, but multifactorial influences, such as acid reflux, ischemia and reduced protective mechanisms of the mucosa are discussed as possible causes.

Two autopsy cases are presented with typical signs of a black esophagus. The first case showed an infection with Candida albicans, the second one died of appendicitis, so in both cases an infectious genesis might have played a role.
T2  - Black esophagus—Two autopsy cases with infectious involvement
KW  - Histopathologie
KW  - Blinddarmentzündung
KW  - Speiseröhre
KW  - Nekrose
KW  - Schleimhaut
KW  - Candida
KW  - Akute Ösophagusnekrose
KW  - Schleimhaut-Ulzera
KW  - Appendizitis
KW  - acute esophageal necrosis
KW  - histopathology
KW  - mucosal ulcers
KW  - appendicitis
KW  - Candida
Y1  - 2023
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-325022
SN  - 0937-9819
VL  - 33
IS  - 3
ER  -