Document Detail

Fatal outcome of a sand aspiration.
MedLine Citation:
PMID:  18546004     Owner:  NLM     Status:  MEDLINE    
Although extensive deep aspiration of sand, gravel, or dirt is a very rare incident, its consequences may be severe ranging from the necessity of immediate intensive care to death. Cases reported so far were due to external causes such as cave-ins, near drowning, or being buried under sand masses. We report a case of a 2 1/2-year-old boy who ingested sand while playing in a sandbox with his older brother. Despite early resuscitation and endotracheal intubation efforts, he died subsequently showing clinical signs of asphyxia due to airway obstruction. Autopsy revealed sand masses obstructing the trachea and lobar bronchi of both lungs as well as brain edema, while no signs of blunt trauma, forced sand ingestion, or preexisting medical conditions were found. This case demonstrates that fatal self-administered sand aspiration may occur in early childhood. The pathophysiology of the lethal outcome with regard to the physical properties of sand and implications for the clinical assessment of emergency situations are discussed.
M Kettner; F Ramsthaler; B Horlebein; P H Schmidt
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-06-11
Journal Detail:
Title:  International journal of legal medicine     Volume:  122     ISSN:  0937-9827     ISO Abbreviation:  Int. J. Legal Med.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-10-06     Completed Date:  2009-03-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9101456     Medline TA:  Int J Legal Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  499-502     Citation Subset:  IM    
Institute of Forensic Medicine, Johann Wolfgang Goethe University Frankfurt am Main, Kennedyallee 104, 60596, Frankfurt am Main, Germany.
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MeSH Terms
Airway Obstruction / complications,  etiology
Asphyxia / etiology*
Brain Edema / pathology
Bronchi / pathology
Child, Preschool
Forensic Pathology
Play and Playthings*
Silicon Dioxide / adverse effects*
Trachea / pathology
Reg. No./Substance:
7631-86-9/Silicon Dioxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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