Nikolić Slobodan, Zivković Vladimir, Strajina Veljko, Djonić Danijela, Popović Vesna, Djurić Marija
Institute of Forensic Medicine, University of Belgrade, School of Medicine, Belgrade, Serbia.
Med Sci Law. 2012 Jul;52(3):178-80. doi: 10.1258/msl.2011.011024. Epub 2012 Jan 19.
Fat embolism in the lungs can unreservedly be accepted as a vital reaction even in cases of advanced putrefaction. A case is presented herein of an 80-year-old woman, found dead in her locked flat, lying on her right side on the floor. In addition to hip fracture, an external examination of the body and a forensic autopsy revealed putrefactive changes. The histological examination of frozen Sudan III-stained sections of the lungs was performed, where orange, drop, sausage- and branching-shaped fat emboli were found. Despite advanced postmortem putrefaction changes, findings of fat emboli in the lung vessels demonstrated that the hip fracture was antemortem in origin. In this case study, the utility of a lung fat embolism is highlighted as being a vital sign even in cases where the body of the deceased has been changed by advanced putrefaction.
即使在晚期腐败的情况下，肺部脂肪栓塞也可毫无保留地被视为一种重要反应。本文介绍了一例80岁女性的案例，她被发现死在自己锁着的公寓里，右侧卧在地板上。除了髋部骨折外，尸体的外部检查和法医尸检还发现了腐败变化。对肺部冷冻苏丹III染色切片进行了组织学检查，发现了橙色、滴状、香肠状和分支状的脂肪栓子。尽管死后有晚期腐败变化，但肺血管中脂肪栓子的发现表明髋部骨折是生前发生的。在本案例研究中，强调了肺部脂肪栓塞即使在死者尸体已因晚期腐败而发生变化的情况下，仍作为一种重要体征的作用。
