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Related Concept Videos

Burn Injuries01:22

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Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
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Electrocution Stigmas in Organ Damage: The Pathological Marks.

Gelsomina Mansueto1,2, Mario Di Napoli3, Pasquale Mascolo2,4

  • 1Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.

Diagnostics (Basel, Switzerland)
|April 30, 2021
PubMed
Summary

Diagnosing electrocution deaths remains difficult. While internal organ changes are unspecific, the external electrical mark is the most reliable evidence for forensic pathology. Further research seeks pathognomonic signs beyond the skin.

Keywords:
autopsybrainelectrocutionhearthistologylungrhabdomyolysisskin

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Area of Science:

  • Forensic Pathology
  • Electrical Injury Analysis
  • Autopsy Science

Background:

  • Establishing definitive diagnostic criteria for electrocution-related deaths presents ongoing challenges in forensic pathology.
  • Currently, the presence of an electrical mark on the skin is considered the sole reliable indicator of electrocution.

Purpose of the Study:

  • To compare histological and morphological findings in autopsy cases of electrocution deaths with existing literature.
  • To evaluate the diagnostic utility of internal organ changes in determining electrocution as the cause of death.

Main Methods:

  • Autopsy examination of skin and internal organs from electrocution fatalities.
  • Comparative analysis of observed findings against established literature data on electrocution.

Main Results:

  • Morphological changes in internal organs such as the heart and brain are non-specific and highly variable.
  • Observed organ damage in electrocution deaths lacks reliability for a definitive diagnosis.
  • The external electrical mark remains the gold standard for diagnosing electrocution.

Conclusions:

  • Pathological findings in internal organs are insufficient to confirm electrical damage post-mortem.
  • While histological changes offer insights, diagnosing death from electrical injury remains an unresolved issue.
  • The electrical mark is crucial in forensic medicine, but identifying non-cutaneous pathognomonic signs is needed for future diagnostic improvements, especially in ambiguous cases.