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Biomedical subjects

H Pankratz

Publications and source records attributed to H Pankratz.

13 recordsLinked to original sources

Death due to neurogenic shock following gastric rupture in an anorexia nervosa patient.

We report a case of fatal gastric rupture discovered after death, which developed due to a bulimic attack of a 19-year-old woman suffering from anorexia nervosa. An autopsy revealed an acute gastric dilatation and rupture without commonly observed ischemic damage of gastric wall structures. However, it may be difficult to determine the cause of death despite the marked findings. The death as a consequence of neurogenic shock accounts for all the results of gross examination and histologic analysis. This case is the first reported case of fatal gastric rupture of an anorectic patient discovered after death.

Adult↗

[Sudden death caused by an arterial hydatid embolism].

HISTORY: A 45-year-old woman from Turkey who had been living in Germany for 6 years, suddenly became short of breath, developed seizures and died within 2 minutes. There was no evidence of previous illness. INVESTIGATIONS: At autopsy a large hydatid and many other hydatids of varying sizes were found inside the left heart. Rupture of one of the hydatid cysts in the left atrium had caused embolism to the arterial system. The cyst walls showed typical laminar cuticular structure. The sediments of the cyst fluid contained scolices of Echinococcus granulosus, but no antibodies were demonstrated by indirect haemagglutination. DIAGNOSIS AND CONCLUSION: This is a rare case of Echinococcus granulosus infection, limited to the heart, which had followed an asymptomatic course until sudden death caused by arterial embolism of the hydatids. Such diagnosis should be considered in case of sudden death of persons from areas in which the disease is endemic.

Animals↗

Homicide with a captive bolt pistol.

A homicide with a captive bolt pistol (slaughterer's gun) is reported. The construction and the function of this "humane killer" as well as the typical patterns of injury are described.

Craniocerebral Trauma↗

[The juxta-oral organ (Chievitz organ)--a sensory organ in the bucco-temporal area?].

Samples of a juxtaoral organ were examined immunohistochemically with antibodies against light-chain cytokeratin (KL-1), cytokeratin 19, desmin, chromogranin, neuron-specific enolase, and S-100 protein. The epithelial cells were found to be immunoreactive only with the two cytokeratin antibodies. Transmission electron microscopy was also performed. The results are best compatible with a mechanoreceptor function of the organ.

Adult↗

[Myoglobin concentrations of cadaver blood in fatal electric injuries].

In cases of death due to electrical current frequently autopsies do not reveal makroscopic findings. Recent reports indicated, that an increased concentration of myoglobin in blood sampled from the heart and femoral vein as a sign of membraneous alteration related to electrical current passing the human body is applicable to prove death from electricity, as far as other factors extremely influencing myoglobin concentration can be excluded. Determination of myoglobin by radioimmunoassay performed on 5 cases of death caused by electrical current, 3 cases of sudden death due to heart disease and several other causes of death did not verify any correlation between myoglobin concentration and causes of death.

Adult↗

[Wound ballistics of the Krönlein shot].

The "Krönlein" shot (evisceration of the brain) is a very rare injury of the skull caused by a high-velocity bullet. The requirement for this type of low-range shot wound is a broad opening of the skull with laceration of the dura mater. In the past, several cases of this particular injury have been reported and all led to immediate death.

Brain↗

[Decapitation by hanging].

This case report describes the most infrequently observed decapitation by the rope in the event of a suicidal hanging. Knowing the length of the drop, it was possible to estimate the loading of the neck of about 13 500 N. This value appears to applicable to indicate the upper limit of tolerance of the neck.

Asphyxia↗