Cardioinhibitory reflex due to a karate kick: a case report.

Details

Serval ID
serval:BIB_3E0D728AD3B5
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Cardioinhibitory reflex due to a karate kick: a case report.
Journal
American Journal of Forensic Medicine and Pathology
Author(s)
de Froidmont S., Lobrinus J.A., Michaud K., Palmiere C., Augsburger M.P., Mangin P., Grabherr S.
ISSN
1533-404X (Electronic)
ISSN-L
0195-7910
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
36
Number
2
Pages
79-83
Language
english
Notes
Publication types: Journal Article Publication Status: ppublish
Abstract
This article describes the case of a 17-year-old adolescent boy who received a foot kick in the trunk area from an expert in karate. He presented with immediate cardiocirculatory arrest. After a prolonged resuscitation, he was transferred to a hospital where he died 5 days later without ever regaining consciousness. Postmortem investigations including autopsy, radiology, histology, toxicology, and postmortem chemistry were performed that showed signs of multiple organ failure, an acute hemorrhage in the region of the celiac plexus, and signs of medical resuscitation. No preexisting disease, particularly those concerning the heart, was objectified. The cause of death was attributed to multiple organ failure after a prolonged cardiocirculatory arrest. Concerning the origin of the cardiac arrest, 2 hypotheses were considered-a cardioinhibitory reflex and a cardiac contusion (commotio cordis). Because of the presence of traumatic lesions in the celiac plexus, the first hypothesis was finally submitted. This case is reported because rare cases of sudden death from celiac reflex are described in the literature where it is almost impossible to find references with accurate documentation. The presented case confirms the importance of detailed documentation of the circumstances and postmortem investigations to establish a diagnosis of death due to cardioinhibitory reflex.
Pubmed
Web of science
Create date
21/04/2015 13:31
Last modification date
20/08/2019 13:34
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