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Intussusception: agonal phenomenon or cause of death?

¹London Medicolegal Centre, Greenwich.

Medicine, Science, and the Law

|January 7, 1998

Summary

This study examines two cases of small intestinal intussusception in children and adults with unusual autopsy findings. The research concludes intussusception is a genuine pathological condition, not a post-death event.

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Area of Science:

Gastroenterology
Pathology
Forensic Medicine

Background:

Small intestinal intussusception is a significant cause of bowel obstruction.
Autopsy findings in intussusception can sometimes be atypical, particularly in cases of death.

Observation:

Two cases are presented: one pediatric and one adult, both with intussusception and unusual autopsy findings.
The intussusception in both cases was noted during post-mortem examination.

Findings:

The autopsy findings associated with small intestinal intussusception were atypical in both presented cases.
A review of literature indicates that acute small intestinal intussusception in adults and children can present with non-standard autopsy results.

Implications:

The findings suggest that atypical autopsy presentations of small intestinal intussusception represent a true pathological entity.
It is crucial to differentiate intussusception from agonal changes to ensure accurate cause of death determination.

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