Aspiration Deaths Among Adults in Istanbul

  • Haşim Asil
  • Çağlar Özdemir
  • İbrahim Üzün
  • Hakan Kar
  • Mete Korkut Gülmen
Keywords: adult, aspiration, death, autopsy


Massive aspiration of food is rare, but most common in people under the influence of alcohol or a drug and comatose patients who have impaired functioning of the central nervous system. The finding of small amounts of food material in the airway at autopsy does not indicate the true vital aspiration because of agonal or even early post-mortem overspills. Occlusion of the small airways, mainly the membranous and respiratory bronchioles, partial or total filling of bronchiolar lumen and the alveolar spaces with food or gastric content were typical morphologic findings.
In our 10 year retrospective study we presented the data of 21 male and 4 female cases with a final diagnosis of fatal aspiration in age from 23 to 78 years (45.43±14.61) from the records of Morgue Specialization Department of the Council of Forensic Medicine. 13 cases found death at the scene without an eyewitness. All deaths were accidental in manner except one homicide. Toxicological analysis revealed blood alcohol concentration levels between 161 and 339 mg/dL in 7 cases. Morphine metabolites, benzodiazepine and barbituric acid derivatives, toluene and acetone were detected in 5 subjects. Aspirated materials were food in 14 cases, chewing gum in 3 cases, gastric content in 7 cases and a fabric gag in one case.

The history, other evidence of external vomit on the clothing or immediate surroundings and toxicological analysis are by no means as significant as autopsy findings especially in cases of aspiration.

Key words : adult; aspiration; death; autopsy


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Gresham GA. Violent form of asphyxial death. In The Pathology of Trauma, Ed. Mason J.K. The Bath Press, Avon, 1993:204–213.

DiMaio VJ, DiMaio D. Forensic Pathology. CRC Press, Boca Roton, 2001.

Bockholdt B, Ehrlich E. Maxeiner H. Forensic importance of aspiration. Leg Med (Tokyo).2003;5:311-314.

Berzlanovich AM, Muhm M, Sim E, Bauer G. Foreign body asphyxiation-an autopsy study. Am J Med. 1999;107:351-355.

Delmonte C, Capelozzi VL. Morphologic determinants of asphyxia in lungs: a semiquantitative study in forensic autopsies. Am J Forensic Med Pathol. 2001;22:139–149.

Wick R, Gilbert JD, Byard RW. Café coronary syndrome-fatal choking on food: an autopsy approach. J Clin Forensic Med. 2006;13:135-138.

Berzlanovich AM, Fazeny-Dörner B, Waldhoer T, Fasching P, Keil W. Foreign body asphyxia: a preventable cause of death in the elderly. Am J Prev Med. 2005; 28:65–69.

Dolkas L, Stanley C, Smith AM, Vilke GM. Deaths associated with choking in San Diego county. J Forensic Sci. 2007;52:176–179.

Haugen RK. The café coronary. Sudden deaths in restaurants. Jama.1963;186:142–143.

Jacob B, Huckenbeck W, Barz J, Bonte W. Death, after swallowing and aspiration of a high number of foreign bodies, in a schizophrenic woman. Am J Forensic Med Pathol. 1990;11:331-335.

How to Cite
Asil, H., Özdemir, Çağlar, Üzün, İbrahim, Kar, H., & Gülmen, M. (2014). Aspiration Deaths Among Adults in Istanbul. The Bulletin of Legal Medicine, 18(1), 14-19.
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