Etté Hélèn Yapo, Botti Koffi, Koffi Emmanuel Kouakou, Ebouat Marc
Department of Legal Medicine, Medical University of Abidjan Cocody, Côte d'Ivoire.
Med Sci Law. 2007 Jan;47(1):79-85. doi: 10.1258/rsmmsl.47.1.79.
This is a report on a 30-year-old black man who suddenly died in the worker transportation vehicle in which he had been quietly sitting for thirty minutes. No information about his medical or surgical history or any family history has been obtained. This case is intended to highlight the fact that forensic autopsy is a valuable tool to recognize the cause of death and that fatal pulmonary thromboembolism still remains a post-mortem diagnosis. In this case report, the autopsy found a fresh saddle pulmonary thromboembolus associated with partially organized thrombi of the inferior vena cava. Can a prolonged seated position encourage thrombus formation? We think that seat-related factors and especially patient-related factors intervene together in the development of thromboembolic events. In our medico-legal unit, having no means to search for these factors, we speculated on the various causes that could be involved in the occurrence of venous thromboembolism in our subject. We emphasize the importance of focusing research on genetic factors and the impact of traditional medicine in African people.
这是一份关于一名30岁黑人男性的报告，他在工作运输车内突然死亡，当时他已安静地坐了30分钟。尚未获取到有关他的内科或外科病史或任何家族病史的信息。本病例旨在强调法医尸检是确定死因的重要工具，且致命性肺血栓栓塞症仍然是一种死后诊断。在本病例报告中，尸检发现一个新鲜的骑跨性肺血栓栓子，伴有下腔静脉内部分机化的血栓。长时间坐着会促使血栓形成吗？我们认为与座位相关的因素，尤其是与患者相关的因素，共同作用于血栓栓塞事件的发生发展。在我们的法医学部门，由于无法探寻这些因素，我们推测了可能导致我们这位受试者发生静脉血栓栓塞的各种原因。我们强调将研究重点放在遗传因素以及传统医学对非洲人群的影响上的重要性。
