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Biomedical subjects

J C Aguilar

Publications and source records attributed to J C Aguilar.

7 recordsLinked to original sources
PubMed1985

Sudden unexpected death associated with atlanto-occipital fusion.

A case of sudden, unexplained death in a 24-year-old male is presented. There were two previous spells of loss of consciousness. There was remarkable narrowing of the foramen magnum with indentation of the medulla. The atlas was partly fused with the occipital bone and a portion of abnormal bone compromised the foramen magnum from anterior reducing its anteroposterior dimensions to 16 mm (n 25-35 mm). Close clinical examination of this area in patients with acute intermittent symptomatology, or at the time of autopsy in cases of sudden unexpected death is stressed.

Adult↗
PubMed1983

Shored gunshot wound of exit. A phenomenon with identity crisis.

Shored gunshot wound of exit is produced when the outstretched skin is impaled, sandwiched, and crushed between the outgoing bullet and the unyielding object over the exit site, thus leaving an abrasion collar on the wound margin. Proper coaptation of the wound margin is impossible because of the loss of skin just like those observed in entrance wounds. In contrast to the entrance wound, the supported exit wound shows a scalloped or punched-out abrasion collar and sharply contoured skin in between the radiating skin lacerations marginating the abrasion (Fig. 1). Should gunpowder be observed around the exit site, it is often unevenly distributed, and is not associated with searing, gunpowder stippled abrasion, tatooing, and deposition of soot.

Biomechanical Phenomena↗
PubMed1981

Fatal gastric hemorrhage: a complication of cardiorespiratory resuscitation.

Clinical courses of 16 patients with documented gastric trauma resulting from cardiopulmonary resuscitation were reviewed from seven published manuscripts (1-7). Three patients with gastric rupture survived the therapy (2, 3, 7), two ultimately died of their original disease, and one recovered completely (2). Of the 15 who died, the gastric trauma contributed very little to the fatal outcome of the patients. The case reported here suffered death from gastric mucosal lacerations caused by cardiopulmonary resuscitation resulting in a fatal massive gastric hemorrhage.

Adult↗
PubMed1979

Fatal benign phenytoin lymphadenopathy.

A 71-year-old man had status epilepticus and was treated with phenytoin (Dilantin) sodium. Subsequently, an absolute eosinophilia developed, which increased and reached its zenith immediately before the patient died. At autopsy, anasarca and an interstitial nephritis characterized predominantly by eosinophils and occasional focal necrotizing arteriolar glomerular lesions were found. Portal areas also contained an eosinophilic infiltrate. It has been previously stressed that exfoliative dermatitis is often the initiating sign of an allergic hypersensitivity reaction with phenytoin therapy. In view of this, we would suggest that a potential first sign of such an underlying reaction may be the development of an otherwise unexplained absolute eosinophilia.

Aged↗
PubMed1979

Fatal retropleural hematoma from a ruptured abdominal aortic pseudo-aneurysm.

This paper has reported a case of sudden unexpected death in a 19-year-old man, shot in the abdomen, who was surgically treated and discharged. He died of massive left retropleural hematoma from a spontaneous rupture of a traumatic pseudo-aneurysm of the abdominal aorta. Diagnosis of the retropleural hemorrhage and the aortic pseudo-aneurysm was possible, though not made antemortem, through chest X-rays and ultrasound studies of the abdomen correlated with the patient's symptoms. Early radiologic signs of the hematoma consisted of obliteration of the aortic silhouette on the anteroposterior view and the left primary sulcus on the lateral film by a convex expanding homogenous density whose medial border blended imperceptibly with the mediastinal shadow. On ultrasound study the pseudo-aneurysm appears as semilucent midline shadow anterior to the vertebral column and related to the aorta, giving the latter an appearance of increased diameter.

Adult↗