Preuss J, Thierauf A, Dettmeyer R, Madea B
Institute of Legal Medicine, University of Bonn, Stiftsplatz 12, D-53111 Bonn, Germany.
Forensic Sci Int. 2007 Jul 4;169(2-3):220-2. doi: 10.1016/j.forsciint.2006.03.007. Epub 2006 May 2.
Wischnewsky's spots in the mucosa of the stomach have been a well-known sign of death due to hypothermia for many years. Furthermore it is reported that those spots can rarely be found in the esophagus as well. We now report on a case concerning a 93-year-old woman who presented an ectopic stomach with erosions of the mucosa in the intrathoracic part of the stomach that were assessed as Wischnewsky's spots. When she was found dead in her flat, she was completely undressed and showed an injury to the head. The autopsy findings are presented and discussed in view of a possible genesis and pathophysiology of Wischnewsky's spots.
胃黏膜上的维施涅夫斯基斑多年来一直是低温致死的一个众所周知的征象。此外，据报道这些斑点在食管中也很少见。我们现报告一例93岁女性病例，该患者存在异位胃，胃胸段黏膜有糜烂，被评估为维施涅夫斯基斑。当她被发现死于公寓时，她全身赤裸，头部有一处损伤。鉴于维施涅夫斯基斑可能的成因和病理生理学，展示并讨论了尸检结果。
