Death while in custody is a sensitive issue as it has the potential to cause legal ramifications and political fall-out, to embarrass the law enforcement community, and to incite the general population. Studies of deaths while in custody show that natural deaths are much more common than both suicides and homicides combined. Studies also indicate that natural deaths cluster in the older population, while suicides, on the other hand, occur predominantly in the younger population. We present a summary and discussion of a death in custody that is unique in several aspects. Contrary to the norm, death in this 18-year-old male inmate was natural. It was due to a rare complication (colopericardial fistula) of a surgical procedure (colonic interposition) performed roughly 16 years previously. We believe that our case represents the third example of a colopericardial fistula and the first to occur following corrective surgery for esophageal atresia.

译文

在押期间死亡是一个敏感问题,因为它有可能引起法律后果和政治后果,使执法部门感到尴尬,并煽动普通民众。对在押期间死亡的研究表明,自然死亡比自杀和凶杀案的总和要普遍得多。研究还表明,自然死亡聚集在老年人口中,而自杀则主要发生在年轻人口中。我们对羁押中的死亡进行了总结和讨论,这在几个方面都是独一无二的。与正常情况相反,这名18岁的男性囚犯的死亡是自然的。这是由于大约16年前进行的外科手术 (结肠介入) 的罕见并发症 (心包瘘) 所致。我们认为,我们的病例代表了心包瘘的第三个例子,并且是在食管闭锁的矫正手术后首次发生的例子。

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