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Medico-legal investigation of chicken fat clot in forensic cases: immunohistochemical and retrospective studies. | LitMetric

AI Article Synopsis

  • Chicken fat clot (CFC) is a fibrin-like substance observed in hearts and blood vessels during autopsies, with limited histological reports available.
  • A study examined 53 autopsy cases and identified three patterns of CFC: wavelike fibrin fibers (WFF), short fibrin fibers (SFF), and a combination of both (SFF+WFF).
  • The study found that these patterns correlate with the time of survival after death, indicating potential use in determining survival intervals in medico-legal deaths.

Article Abstract

Chicken fat clot (CFC), a fibrin-like substance, is sometimes found in the heart and large blood vessels in some autopsy cases. Reports of detailed histological findings of CFC are scant. We therefore examined CFC histologically in 53 autopsy cases and its correlation with ante-mortem or post-mortem evidence. We found three microscopic patterns of CFC: (1) wavelike fibrin fibers (WFF), (2) short fibrin fibers (SFF), and (3) short fibrin fibers mixed with wavelike fibrin fibers (SFF+WFF). WFF were found in the cases that survived less than 3 h after poisoning, burns, asphyxia, intracerebral hemorrhage, etc. SFF were found in the cases that survived more than 1 day after malignant neoplasms and acute or chronic inflammatory diseases, etc. SFF+WFF were found in the cases that died of inflammatory diseases, chronic heart failure, hemorrhagic shock, drowning, etc. About two-thirds of the SFF+WFF cases survived more than 1 day, with the rest surviving less than that. Our study confirmed three CFC patterns and their relation with survival interval. Therefore, these findings can be used as an index of the survival interval of a few acute and most chronic medico-legal death cases.

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Source
http://dx.doi.org/10.1016/j.legalmed.2007.11.004DOI Listing

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