Obscure autopsy

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Commotio cordis (CC) remains a controversial topic in the field of forensic pathology due to variation in the terminology and a negative or obscure autopsy. Although CC is a rare entity by itself, it is the most common acquired cause of sudden cardiac death in young athletes. This chapter reviews the relevant anatomy and physiology of the heart, followed by a discussion of the pathophysiology of CC. Next, it delves into the epidemiology, management, prognosis and prevention of CC. This chapter also discusses the postmortem diagnosis of CC and the role of a forensic pathologist in explaining this diagnosis during a trial. Keywords • Commotio cordis • Blunt force impact • Chest wall impact • Blunt chest trauma • Blunt precordial trauma • Sudden cardiac death • Forensic pathology • Tainter CR, Bhimji SS. Commotio cordis. Updated 21 Sep 2018. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2018. Accessed 31 Dec 2018. • Maron BJ, Estes NA III. Commotio cordis. N Engl J Med. 2010;362:917–27. • Kelly M. Death touch: the science behind the legend of Dim-Mak. Boulder, CO: Paladin; 2001. • Kumar K, Mandleywala SN, Gannon MP, Estes NA, Weinstock J, Link MS. Development of a chest wall protector effective in preventing sudden cardiac death by chest wall impact (commotio cordis). Clin J Sport Med. 2017;27:26–30. • Yeh CC, Hsieh CH, Wang YC, Chung PK, Chen RJ. Commotio cordis as a rare cause of traumatic cardiac arrest in motorbike crashes: report of a case. Surg ...

Abstract This article deals with a detailed analysis of the dissection of the heart at autopsy. Since most of causes of death are cardiac it is essential that all pathologists are familiar with the approach to dissection of the heart, taking of blocks for histology and possible analysis of the conduction tissue. • Vasculitis • occupational lung disease • lung • cardiovascular • pulmonary pathology

Introduction A forensic autopsy is an examination conducted postmortem to address medicolegal objectives. A forensic autopsy is also called a medicolegal autopsy. The performance of a forensic autopsy follows instructions from the concerned legal authority responsible for the medicolegal investigation of sudden, unexpected, suspicious, mysterious, unwitnessed, obscure, unexplained, or litigious deaths, criminal deaths, industrial deaths, and deaths associated with medical or surgical treatment where medical negligence is alleged or anesthetic deaths. In brief, all deaths of unnatural (homicide, suicide, accident) manner, suspicious deaths, and unexpected deaths necessitate a legal investigation, which includes an autopsy as a portion of the evidence-gathering process. The legal authority directing the autopsy surgeon/forensic pathologist to conduct the forensic autopsy may be the coroner, the medical examiner, the magistrate, the police, or the procurator fiscal as the legal norms differ substantially across the globe. The performance of a forensic autopsy forms a part of the medicolegal death investigation system. The type of medicolegal death investigation system varies from one country to another and may even differwithin a country. For instance, in the United States of America, the coroner system and medical examiner system of medicolegal death investigation are prevalent. In India, either the magistrate or the police conduct the medicolegal death investigation. In Sco...