Journal of Forensic and Legal Medicine
Volume 16, Issue 6 , Pages 321-324 , August 2009

Electrolyte analysis of pleural effusion as an indicator of drowning in seawater and freshwater

  • Yosuke Usumoto, MD (Postgraduate Student)

      Affiliations

    • Department of Forensic Pathology and Sciences, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan
  • ,
  • Naomi Sameshima, ABc (Research Technician)

      Affiliations

    • Department of Forensic Pathology and Sciences, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan
  • ,
  • Wakako Hikiji, MD (Postgraduate Student)

      Affiliations

    • Department of Forensic Pathology and Sciences, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan
  • ,
  • Akiko Tsuji, PhD (Assistant Professor)

      Affiliations

    • Department of Forensic Pathology and Sciences, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan
  • ,
  • Keiko Kudo, PhD (Assistant Professor)

      Affiliations

    • Department of Forensic Pathology and Sciences, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan
  • ,
  • Hiromasa Inoue, MD, PhD (Associate Professor)

      Affiliations

    • Department of Forensic Medicine and Sciences, Institute of Social and Environmental Medicine, Mie University Graduate School of Medicine, Edobashi 2-174, Tsu, Mie 514-8507, Japan
  • ,
  • Noriaki Ikeda, MD, PhD (Professor)

      Affiliations

    • Department of Forensic Pathology and Sciences, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan
    • Corresponding Author InformationCorresponding author. Tel.: +81 92 642 6124; fax: +81 92 642 6126.

Received 10 June 2008 ,Revised 2 October 2008 ,Accepted 23 December 2008.

References 

  1. Frederic S, Jean LB. Drowning: a review of epidemiology, pathophysiology, treatment and prevention. Resuscitation. 2004;63:261–268
  2. Michel HAP, Els ADL. Drowning: still a difficult autopsy diagnosis. Forensic Sci Int. 2006;163:1–9
  3. Ludes B, Coste M, North N, Doray S, Tracqui A, Kintz P. Diatom analysis in victim’s tissues as and indicator of the site of drowning. Int J Legal Med. 1999;112:163–166
  4. Chen YC, Deng ZK, Zhu JZ. The significance of detecting serum fluorine level in the diagnosis of drowning. Forensic Sci Int. 1990;46:289–294
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  7. Yorulmaz C, Arican N, Afacan I, Dokgoz H, Asirdizer M. Pleural effusion in bodies recovered from water. Forensic Sci Int. 2003;136:16–21
  8. Zhu BL, Quan L, Li DR, et al. Postmortem lung weight in drownings: a comparison with acute asphyxiation and cardiac death. Legal Med. 2003;5:20–26
  9. Inoue H, Ishida T, Tsuji A, Kudo K, Ikeda N. Electrolyte analysis in pleural effusion as an indicator of the drowning medium. Legal Med. 2005;7:96–102
  10. UpToDate®. Mechanisms of pleural liquid turnover in the normal state. <http://www.utdol.com/online/content/topic.do?topicKey=pleurdis/5304&selectedTitle=14~150&source=search_result>; 2005 [retrieved 30.04.08].
  11. UpToDate®. Mechanisms of pleural liquid accumulation in diasease. <http://www.utdol.com/online/content/topic.do?topicKey=pleurdis/7469&selectedTitle=13~150&source=search_result>; 2005 [retrieved 30.04.08].
  12. Byard RW, Cains G, Simpson E, Eitzen D, Tsokos M. Drowning, haemodilution, haemolysis and staining of the intima of the aortic root – preliminary observations. J Clin Forensic Med. 2006;13:121–124

PII: S1752-928X(08)00260-6

doi: 10.1016/j.jflm.2008.12.028

Journal of Forensic and Legal Medicine
Volume 16, Issue 6 , Pages 321-324 , August 2009