Biomedical subjects

Nathalie Romain

Publications and source records attributed to Nathalie Romain.

6 recordsLinked to original sources

PubMed2004

Sudden death following exercise testing related to abnormalities of the cardiac conduction system and coronary artery pathology.

A case of sudden death following exercise testing in a 33-year-old man is reported. The forensic autopsy showed atherosclerotic stenosis of the left coronary artery, as well as some changes in the cardiac conduction system, including anomalies of the atrioventricular node and moderate fibrosis and fatty infiltration of the branching bundle. This case demonstrates that cardiac arrest during vigorous exercise may be multifactorial and that abnormalities of the cardiac conduction system may have played some role in the fatal issue.

Adult↗

PubMed2003

Suicide by injection of a veterinarian barbiturate euthanasia agent: report of a case and toxicological analysis.

The history and toxicological findings of a suicidal case involving injection of a veterinarian barbiturate euthanasia agent (Vetanarcol containing pentobarbital are presented. Blood pentobarbital concentrations compatible with drug overdose were determined. Almost identical levels were found in blood, cerebrospinal fluid (CSF) and vitreous humour (VH). The highest concentration was measured in the bile. The present case is compared with similar rare cases in the literature.

Drug Overdose↗

PubMed2003

Fatal aortic injury during laparoscopy: report of two cases.

The authors report the cases of two young women who died of massive hemorrhage resulting from trocar aortic injuries during abdominal laparoscopy. In the first case, wherein the patient underwent laparoscopy for cecopexy, the forensic autopsy showed a through-and-through perforation of the abdominal aorta and of the ileum. The other woman, who had morbid obesity, underwent a laparoscopy for gastroplasty. In this second case, the main postmortem findings were stab wounds of the thoracic aorta and of the diaphragm.

Adult↗

PubMed2003

Childhood homicide: a 1990-2000 retrospective study at the Institute of Legal Medicine in Lausanne, Switzerland.

The authors retrospectively reviewed all homicides of children under 15 years of age referred to the Institute of Legal Medicine in Lausanne from January 1990 to December 2000. We report on 41 cases during this eleven-year period. Among those, 17 newborns and 24 older children, a higher proportion of males was found. Regarding newborn homicides, when the identity of the mother was known she was always identified as the perpetrator. With non-newborn homicides, the majority of the victims were killed at home and knew the offender. Two common profiles of these homicides could be determined. In the first scenario, one of the parents shot all the children and committed suicide afterwards. The second profile is defined as 'fatal child abuse' and concerned younger victims whose cause of death was the result of a cranio-cerebral trauma from battering or shaken baby syndrome.

Child Abuse↗

PubMed2002

Evaluation of a simplified method of the conduction system analysis in 110 forensic cases.

A simplified method of the His bundle analysis is evaluated by the study of 110 forensic cases. The atrioventricular node or its part were observed in 96 cases (87.3%), penetrating bundle in 92 cases (83.6%), branching and left bundles branch in 109 cases (99.1%) and right bundle branch in 73 cases (66.4%). The changes such as fibrosis and fatty infiltration show statistically significant differences (P<0.01) between progressive age groups confirming their degenerative and age-related nature. The study included as well nine cases of sudden unexpected death and two cases of sudden infant death syndrome (SIDS), for which the autopsy with histological examination and toxicological analysis resulted negative. For nine of these cases, pathological lesions were found which can even explain the fatal issue. Moreover, in the cases with known cause of death, potentially lethal changes were noticed. This simple, low cost technique could be proposed to forensic pathologists as easy to fit into the routine processing of autopsy material, allowing the detection of major abnormalities with minimal effort. The authors also consider the difficulties related to the interpretation of the pathological findings in the conduction system.

Adipose Tissue↗

PubMed2002

Post-mortem castration by a dog: a case report.

A man was found dead in a room where two dogs and a cat were wandering freely. His legs were bare and his underpants presented a few small tears. The deceased exhibited a partial emasculation but with only a small amount of bleeding. No other significant injuries were found, particularly no defence lesions. Death was natural, caused by the rupture of a myocardial infarct. A small piece of connective tissue was found in the gastric contents of one of the dogs. This fragment, as well as bloodstained hairs from its jaws, were analysed for DNA.

Animals↗