ArticleInternational journal of legal medicine2017
Hypothermia provokes hemorrhaging in various core muscle groups: how many of them could we have missed?
Article in International journal of legal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- [A prospective randomized controlled study on the effects of progressive core muscle group training combined with lower limb intelligent rehabilitation training for burn patients with lower limb dysfunction].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2022Trial
- Spleen contraction verified as a supportive autopsy sign of fatal hypothermia.International journal of legal medicine · 2026Article
- Reverse Wischnewsky spots: a novel visual presentation of the traditional autopsy sign.Forensic science, medicine, and pathology · 2026Article
- Effects of cold exposure in a confined environment: an original case of suicide by freezing.International journal of legal medicine · 2025Article
- Metabolomic analysis of fatal hypothermia using ultra-high-performance liquid chromatography‒mass spectrometry.Frontiers in molecular biosciences · 2025Article
- Identifying hypothermia death in a mouse model by ATR-FTIR.International journal of legal medicine · 2024Article
- Intramuscular hemorrhages in the pathway of an electric current through the body - two case reports.Forensic science, medicine, and pathology · 2023Article
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Authors and funding
5 authors.
Funding
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Abstract
The postmortem diagnosis of hypothermia remains problematic even in the era of molecular and digital diagnostic advances. Gross hemorrhages in iliopsoas muscles have been regarded as a helpful diagnostic sign in hypothermia fatalities; nevertheless, they have received marginal attention since their original description. The present study attempts to fill that void by examining occurrence, localization, and diagnostic significance of the bleeding into the core muscles as evidence of death due to hypothermia in a series comprising 51 consecutive hypothermia autopsy cases. Hemorrhages into the core muscles were identified in 33 cases of fatal hypothermia (65%). Hemorrhages were present in iliopsoas muscles (19 cases; 37%), deep back muscles (18 cases; 35%), and in other core muscular groups such as the diaphragm, cervical, pectoral, and intercostal muscles (11 cases; 22%). The results of the study offer an attractive diagnostic opportunity and reaffirm the potential of the careful core muscle dissection for the clarification of hypothermic deaths. Centers lacking high-end imaging technologies and molecular postmortem programs may especially benefit, which may have implications in broader autopsy practice.
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