Sudden Death from Acute Epiglottitis and Epiglottic Abscess in Adult

노상재,이호 대한법의학회 2015 대한법의학회지 Vol.39 No.2

Acute epiglottitis is an inflammation of the epiglottis and adjacent structures. Although the incidence is extremely rare, acute epiglottitis is a life-threatening medical emergency and can cause sudden respiratory obstruction. Herein, we describe two cases of sudden death from epiglottitis and epiglottic abscess. A 39-year-old man and 66- year-old man died after suffering from shortness of breath. Autopsies revealed diffuse swelling and abscess formation in the epiglottis and neighboring structures. These cases emphasize the medicolegal importance of sudden death from acute epiglottitis and epiglottic abscess in adults.

Malignant Fat-Forming Solitary Fibrous Tumor of the Thigh

노상재,장규윤 대한병리학회 2014 Journal of Pathology and Translational Medicine Vol.48 No.1

급성심근경색과 심장압전이 동반된 A형 대동맥 박리: 부검 증례

노상재,심명석,안애리,이호 대한법의학회 2018 대한법의학회지 Vol.42 No.4

Aortic dissection is an uncommon, life-threatening medical emergency that is associated with a high mortality rate, and death from aortic dissection is mainly related to secondary complications, namely cardiac tamponade, severe aortic regurgitation, acute myocardial infarction, and abdominal organ vessel obstruction. Hence, prompt and accurate diagnosis followed by proper treatment is important for patient survival. Herein, we present a rare case of sudden death after aortic dissection with concomitant acute myocardial infarction and cardiac tamponade.

소아의 관상동맥경화와 관상동맥류로 인한 급성심장사: 부검 증례

이호,노상재 대한법의학회 2022 대한법의학회지 Vol.46 No.1

Coronary artery disease in childhood is rare. However, coronary arteriosclerosis and coronary artery aneurysm may occur in childhood as congenital malformations, or as complications of vasculitis, other connective tissue disorders, and infections. Coronary arteriosclerosis and coronary artery aneurysm may manifest in varied ways, including silent ischemia, myocardial infarction and sudden cardiac death. In this report, we present a rare case of sudden death in 5-year-old child. Autopsy examination showed coronary arteriosclerosis and coronary artery aneurysm with myocardial fibrosis of the septal wall. Pathologic examination showed near total occlusion of the left anterior descending branch of the coronary artery and the aneurysm, with fibrosis and calcification of the right coronary artery.

코로나바이러스감염증-19 관련 검안 지침: 대한법의학회

나주영,노상재,최민성,박종필 대한법의학회 2020 대한법의학회지 Vol.44 No.2

Coronavirus disease-19 (COVID-19) is a respiratory syndrome caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and emerged in Wuhan, China, in late 2019. It resulted in a worldwide pandemic, and spread through community transmission in the Republic of Korea (ROK). In the ROK, SARS-CoV-2 is categorized as a first-degree infectious disease of the legal communicable disease present. The Korean Society for Legal Medicine (KSLM) is the sole official academic association of forensic professionals in the ROK. As such, this society has played an important role in forensic medicine and science in the ROK. Therefore, KSLM suggests a standard operating procedure for the postmortem inspection in a focus on COVID-19. This article includes the background of this suggested standard operation procedure, basic principles for postmortem inspections of individuals suggested of having an infectious disease, and specific procedures according to the probability level of SARSCoV-2 infection.

[Secondary Publication] Standard Operating Procedure for Post-mortem Inspection in a Focus on Coronavirus Disease-19: the Korean Society for Legal Medicine

나주영,노상재,Choi Min Sung,박종필 대한의학회 2020 Journal of Korean medical science Vol.35 No.33

Coronavirus disease 2019 (COVID-19) is a respiratory syndrome caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and emerged in Wuhan, China, in late 2019. It resulted in a worldwide pandemic, and spread through community transmission in the Republic of Korea (ROK). In the ROK, SARS-CoV-2 is categorized as a first-degree infectious disease of the legal communicable disease present. The Korean Society for Legal Medicine (KSLM) is the sole official academic association of forensic professionals in the ROK. As such, this society has played an important role in forensic medicine and science in the ROK. Therefore, KSLM suggests a standard operating procedure for the postmortem inspection in a focus on COVID-19. This article includes the background of this suggested standard operation procedure, basic principles for postmortem inspections of individuals suggested of having an infectious disease, and specific procedures according to the probability level of SARS-CoV-2 infection.

Multicystic Biliary Hamartoma of the Liver

송지수,문우성,노상재,조백환 대한병리학회 2013 Journal of Pathology and Translational Medicine Vol.47 No.3

Multicystic biliary hamartoma (MCBH) is a very rare hamartomatous cystic nodule of the liver, which has recently been described as a new entity of a hepatic nodular lesion. We report a unique case of MCBH with a review of the literatures. A hepatic multicystic mass of segment 3 was detected in a 52-year-old male by abdominal computed tomography, and resection of this lesion was performed. Macroscopic examination revealed a 2.7×2.0 cm nodular mass with a multicystic honeycomb cut surface. Histologically, this lesion consisted of multiple dilated cystic ducts lined by biliary type epithelial cells, periductal glands and connective tissue, which included small amounts of hepatic parenchyma and blood vessels. Recognition of this unusual lesion is essential to avoid confusion with other cystic tumors of the liver, and to learn more about its natural history and response to treatment.

발살바동을 침범한 상행대동맥류로 인해 발생한 급성심근경색증 사망: 부검 증례

장유라,이호,노상재 대한법의학회 2023 대한법의학회지 Vol.47 No.4

Ascending aortic aneurysm of the thorax is a condition characterized by an increase in the diameter of the ascending aorta between the aortic valve and the brachiocephalic artery. Most patients with ascending aortic aneurysm are asymptomatic and do not require treatment; the rates of dissection, rupture, and mortality are also low. In this report, we describe the autopsy findings in a case of sudden death due to acute myocardial infarction secondary to the previously asymptomatic, unruptured, and undissected aortic aneurysm of the thoracic ascending aorta extending to the sinus of Valsalva. The findings in this case emphasize the importance of preventive management of asymptomatic ascending aortic aneurysms, and possible mechanisms of sudden cardiac death in patients with uncomplicated ascending aortic aneurysm is also discussed.

2016년도 전라북도 지역 법의부검에 대한 통계적 분석

유승진,이호,노상재 대한법의학회 2017 대한법의학회지 Vol.41 No.4

This study aimed to obtain basic regional data of legal autopsy cases observed in the Jeollabuk-do province concerning causes and manner of death. We investigated 170 autopsy cases (114 males [67.0%] and 56 females [33%]) performed at the Department of Forensic Medicine, Chonbuk National University Medical School, in 2016. Of these, seven (4.1%) were children aged <10 years. Regarding the manner of death, there were 95 unnatural deaths (55.9%), 69 natural deaths (40.6%), and six deaths from unknown causes (3.5%). Among the 95 unnatural deaths, 29 suicides (30.5%), 10 homicides (10.5%), 52 accidental deaths (54.7%), and four undetermined deaths (4.2%) were recorded. Concerning causes of unnatural death, there were 39 traumatic injury-related deaths (41.2%), 10 asphyxiations (10.5%), 25 poisonings (26.3%), 13 thermal injury-related deaths (13.7%), and eight deaths due to drowning (8.4%). The most common cause of unnatural death was injury from falls (n=15), followed by agrochemical poisoning (n=12), traffic injury (n=12), and death from fire (n=11). Of 69 natural deaths, 31 were from cardiac diseases (44.9%), eight from cerebral or vascular diseases (11.6%), 12 from digestive system diseases (17.4%), one from respiratory system disease (1.4%), five from endocrine/metabolic/nutritional disorders (7.2%), and nine due to causes of unknown origin (including sudden manhood and sudden infant death syndromes) (13.1%).

Nesidioblastosis and Pancreatic Non-functioning Islet Cell Tumor in an Adult with Type 2 Diabetes Mellitus

최지은,문우성,노상재,성종진 대한병리학회 2013 Journal of Pathology and Translational Medicine Vol.47 No.5