A young adult black female, known to be a prostitute and suspected of smuggling narcotics, was found dead in her apartment in a state of early decomposition. Oval-shaped gray-white masses of exogenous origin protruded from the anus. The autopsy showed dilatation of the folds of the large intestine, which were almost completely filled with these oval-shaped gray-white masses of foreign material. The uterus was enlarged with multiple large leiomyomas. Toxicological tests of blood and the foreign material revealed no toxicologically relevant substances. Kaolin was detected in a sample of the foreign material from the large intestine. The immediate cause of death was intestinal obstruction due to the formation of a kaolin bezoar with simultaneous compression of the large intestine by the enlarged myomatous uterus. Subsequent revelation of a habit the deceased had brought from her native country led to the conclusion that this exotic custom was responsible for her death.
- MeSH
- bezoáry * MeSH
- cizí tělesa komplikace patologie MeSH
- fatální výsledek MeSH
- kaolin aplikace a dávkování škodlivé účinky MeSH
- leiomyomatóza patologie MeSH
- lidé MeSH
- mladý dospělý MeSH
- nádory dělohy patologie MeSH
- pika etnologie MeSH
- sexuální pracovníci MeSH
- střevní obstrukce etiologie patologie MeSH
- Check Tag
- lidé MeSH
- mladý dospělý MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- Geografické názvy
- Nigérie MeSH