Korean J Leg Med.  2007 May;31(1):82-84.

Forensic Consideration of Pulmonary Thromboembolism Developed After Prolonged Gambling at Casino: An Autopsy Case Report

• Kim DJ
• Kim YJ
• Kim DY
• Cho SJ
• Eom M
• Choi YS

Abstract

A pulmonary thromboembolism usually results from deep vein thrombosis as a serious and fatal complication. It is well known that several risk factors are predisposed to these thrombotic events, causing sudden death. Recently, new variant forms of pulmonary thromboembolism, termed as "economy class syndrome or e-thrombosis" were reported in association with sitting for long time in aircraft seat or at computer. The authors experienced a case of death developed after prolonged gambling at casino in 46-year-old man and concluded that the cause of death was fatal pulmonary thromboembolism due to deep vein thrombosis, associated with prolonged sitting. Therefore, the author thought that this case may be contribute to another possible risk factor of life-threatening pulmonary thromboembolism and highlights the importance of predicting deep vein thrombosis after prolonged gambling in sitting position at casino in the similar mechanism of aforementioned reported cases.

Keyword

Deep vein thrombosis; Pulmonary thromboembolism; Prolonged sitting position; Gambling

MeSH Terms

Aircraft
Autopsy*
Cause of Death
Death, Sudden
Gambling*
Humans
Middle Aged
Pulmonary Embolism*
Risk Factors
Venous Thrombosis