关键词: Cosmetic oil injections Forensic medicine Hypercalcemia Paraffinoma Postmortem computed tomography

来  源:   DOI:10.1016/j.bonr.2024.101749   PDF(Pubmed)

Abstract:
In this forensic case report, we present autopsy findings from a young male in his thirties who had been self-injecting paraffin oil into his upper extremities 8 years prior to death. The injections induced an inflammatory response, leading to granuloma formation. This, in turn, resulted in severe hypercalcemia. The external autopsy examination revealed gross macroscopic ulcerations and enlargement of upper extremities, while calcifications of ligaments, heart, kidneys and dura mater was revealed on postmortem CT-scans. Histopathological examination showed extensive multiorgan metastatic calcifications in several tissues including the lungs, heart and kidney. Cause of death was estimated to be the extensive calcific deposits in the heart likely resulting in cardiac arrest. To our knowledge this is the first case reporting findings from an autopsy in which the cause of death was linked to cosmetic oil injections.
摘要:
在这份法医报告中,我们介绍了一名30多岁的年轻男性的尸检结果,他在死亡前8年向上肢自我注射石蜡油。注射引起炎症反应,导致肉芽肿的形成.这个,反过来,导致严重的高钙血症。外部尸检检查显示宏观溃疡和上肢肿大,而韧带钙化,心,肾脏和硬脑膜在死后CT扫描中显示。组织病理学检查显示,包括肺在内的几种组织中广泛的多器官转移性钙化,心脏和肾脏。死亡原因估计是心脏中大量的钙化沉积物可能导致心脏骤停。据我们所知,这是第一个报告尸检结果的病例,其中死亡原因与化妆品油注射有关。
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