An autopsy case of fatal acute peritonitis complicated by illegal acupuncture therapy
| Autor: | DongJa Kim, SangHan Lee |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Perforation (oil well) Acupuncture Therapy Peritonitis Abdominal cavity 030204 cardiovascular system & hematology Pathology and Forensic Medicine 03 medical and health sciences 0302 clinical medicine Fatal Outcome Republic of Korea Acupuncture Medicine Humans 030212 general & internal medicine business.industry Fraud Sigmoid colon Pelvic cavity Middle Aged medicine.disease Licensure Medical Surgery medicine.anatomical_structure Pneumothorax Acute Disease Abdomen Female business Homicide Law |
| Zdroj: | Forensic science international. 276 |
| ISSN: | 1872-6283 |
| Popis: | Acupuncture is an alternative medical therapy and widely practiced in Northeast Asia. Although it is known as a safe procedure, complications including infection, pneumothorax, hemorrhage, and cardiac tamponade have been reported. The authors present a rare case of fatal acute peritonitis due to penetration of acupuncture needles directly into the abdominal and pelvic cavity. The victim was a 55-year-old woman who had a recent history of chemo-radiotherapy due to breast cancer. She was collapsed three days after receiving acupuncture. She had symptoms of fever and chilling sensation, general myalgia, and vomiting during three days. The autopsy revealed several needle marks in the lower abdomen and 180ml of bloody exudate in the abdominal cavity. There was no visible intestinal perforation, but hemorrhagic foci in the mesentery and paracolic area of sigmoid colon were noted. The deepest portion was 13.5cm from the needle marks on the abdominal skin. The practitioner had not a Chinese medical license. He was accused of illegal medical practice and manslaughter. Acute peritonitis associated with acupuncture might be caused by inadequate sterilization of skin and needle itself and/or direct mesentery injury. |
| Databáze: | OpenAIRE |
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