China
Africa
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Homicide
Published in Burkhard Madea, Asphyxiation, Suffocation,and Neck Pressure Deaths, 2020
Burkhard Madea, Musshoff Frank, Schmidt Peter
The autopsy findings in cyanide poisoning are, in general, non-specific [58]. Unlike the characteristic and easily detectable pink hypostasis of carbon monoxide poisoning, the bright pink or lilac colouration ascribed to cyanide poisoning is difficult or impossible to detect at autopsy. Furthermore, the additional presence of a pronounced cyanosis may further obscure the discolouration [172]. In addition, a striking haemorrhagic appearance of the gastric mucosa has been described, which may be associated with grossly oedematous gastric rugae, producing a velvety appearance of the gastric lining. The underlying histological changes constituted vacuolation of the basal mucosal cells, basal cell dissolution, desquamation of surface epithelial cells, and discrete inflammatory infiltration of the submucosa.
GIT Sonography
Published in Swati Goyal, Essentials of Abdomino-Pelvic Sonography, 2018
For identificationStomach—Gastric rugaeJejunum—Valvulae conniventesLarge bowel—Haustra
Test Paper 2
Published in Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike, Get Through, 2017
Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike
A slimly built 60-year-old woman presents with anorexia, diarrhoea, and weight loss. Barium meal shows multiple filling defects in the stomach with thickened gastric rugae. Colonoscopy shows multiple colonic polyps. The top differential is Peutz–Jeghers syndromeFamilial adenomatous polyposisCronkhite–Canada syndromeCowden syndromeTurcot’s syndrome
Rapunzel syndrome (gastric trichobezoar), a rare presentation with generalised oedema: case report and review of the literature
Published in Paediatrics and International Child Health, 2019
Islam Nour, Mona Abd Alatef, Ahmed Megahed, Sohier Yahia, Yahya Wahba, Abd Elazeez Shabaan
In trichobezoars, ingested slippery hairs escape peristaltic propulsion and become retained and entangled within the gastric rugae. The gastric acidity induces denaturation of the hair proteins and blackens the hairs by oxidation. Subsequently, the hairs become matted together and with accumulated food particles, leading to halitosis as a result of colonised bacteria and fermentation of undigested fat [1].