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

Détails

ID Serval
serval:BIB_3E0D728AD3B5
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Cardioinhibitory reflex due to a karate kick: a case report.
Périodique
American Journal of Forensic Medicine and Pathology
Auteur(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
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
36
Numéro
2
Pages
79-83
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish
Résumé
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
Création de la notice
21/04/2015 13:31
Dernière modification de la notice
20/08/2019 13:34
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