Kibayashi Kazuhiko, Sumida Tomomi, Shojo Hideki, Tokunaga Osamu
Department of Forensic Medicine, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan.
Forensic Sci Int. 2007 Dec 20;173(2-3):175-7. doi: 10.1016/j.forsciint.2006.12.010. Epub 2007 Jan 22.
An 11-month-old female infant died at home after being diagnosed as having gastroenteritis. Autopsy examination revealed a distended distal ileum filled with a large amount of watery contents, and a 3 cm x 3 cm x 4 cm cyst at the ileocecal part of the cecum that was histologically consistent with a duplication cyst. The cause of death was determined to be acute dehydration due to intestinal obstruction caused by a duplication cyst. This case indicates that intestinal obstruction by a duplication cyst should be recognized as a cause of unexpected death in infants.
一名11个月大的女婴在被诊断为肠胃炎后在家中死亡。尸检发现回肠末端扩张,充满大量水样内容物,在盲肠回盲部有一个3厘米×3厘米×4厘米的囊肿,组织学检查与重复囊肿一致。死亡原因确定为重复囊肿引起的肠梗阻导致的急性脱水。该病例表明,重复囊肿引起的肠梗阻应被视为婴儿意外死亡的一个原因。