Legal Medicine
Volume 12, Issue 2 , Pages 90-93 , March 2010

Sudden death due to a hypopharyngeal mass during sleep: A case report

Received 8 October 2009 ,Revised 4 November 2009 ,Accepted 9 November 2009.

References 

  1. Cazzaniga A, Cattabeni CM, Luvoni R, Zoja R. Compendio di Medicina Legale e delle Assicurazioni. XII ed.. Torino: UTET; 2006;p. 263–6
  2. Mariuzzi GM. Anatomia Patologica e correlazioni anatomo-cliniche. Padova: PICCIN; 2007;p. 1303–6
  3. Holt B, Fergusson X, Partridge X. Fatty pendulous tumor of the hypopharynx and larynx. Trans Pathol Soc Lond. 1854;5:123–125
  4. Shattock SG. A large laryngeal lipoma of the epiglottis and base of the tongue, with a collection of examples of mucus lipomata of the intestine and of the larynx. Proc R Soc Med. 1908–1909;2:285–296
  5. Billie Fyfe MD, Roger E, Mittleman MD. Hypopharyngeal lipoma as a cause for sudden asphyxial death. Am J Forensic Med Pathol. 1991;12(1):82–84
  6. Dempsey JA, Smith CA, Harms CA, Chow CM. Sleep-induced breathing instability. Sleep. 1996;19:236–247
  7. Younes M. Contribution of upper airway mechanics and control mechanisms to severity of obstructive apnea. Am J Resp Crit Care Med. 2003;168:645–658
  8. Tishler PV, Larkin EK, Schluchter MD, Redline S. Incidence of sleep-disordered breathing in an urban adult population. JAMA. 2003;289:2230–2237
  9. Shahar E, Whitney CW, Redline S, Lee ET, Newman AB, Nieto FJ, et al. Sleep-disordered breathing and cardiovascular disease. Am J Respir Crit Care Med. 2001;163:19–25
  10. Gami AS, Howard DE, Olson EJ, Somers VK. Day–night pattern of sudden death in obstructive sleep apnea. N Engl J Med. 2005;352:1206–1214
  11. Ferini-Strambi L, Zucconi M, Oldani A, Smirne S. Heart rate variability during sleep in snorers with and without obstructive sleep apnea. Chest. 1992;102(4):1023–1027
  12. Mehra R, Stone KL, Varosy PD, Hoffman AR, Marcus GM, Blackwell T, et al. Nocturnal arrhythmias across a spectrum of obstructive and central sleep-disordered breathing in older men: outcomes of sleep disorders in older men. Arch Intern Med. 2009;169(12):1147–1155
  13. Takada A, Saito K, Ro A, Murai T, Kuroda N. Sudden death cases during sleep manifesting habitual snoring: obstructive sleep apnea syndrome as a probable cause of death. Res Pract Forensic Med. 1999;42:237–242
  14. Manzoni S, Poglio A, Restori M. Rilievi immunoistochimici nelle morti per asfissia meccanica violenta: ruolo del surfattante alveolare. Minerva Med Leg. 2008;128:151–156
  15. Zhu BL, Ishida K, Fujita MQ, Maeda H. Immunoistochemical investigation of a pulmonary surfactant in fatal mechanical asphyxia. Int J Legal Med. 2000;113:268–271
  16. Stemberga V, Stifter S, Cuculic D, Coklo M, Bosnar A. Immunoistochemical surfactant protein-A expression: fatal drowning vs. postmortem immersion. Med Hypotheses. 2009;72(4):413–415
  17. Restori M, D’Ambrosio C, Franchi M, Verzeletti A, Manzoni S. Le alterazioni istologiche polmonari in una casistica di morti per asfissia. Zacchia. 2001;(Suppl. Ottobre–Dicembre):135–143

PII: S1344-6223(09)00363-0

doi: 10.1016/j.legalmed.2009.11.004

Legal Medicine
Volume 12, Issue 2 , Pages 90-93 , March 2010