{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T03:57:34Z","timestamp":1790567854379,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Forensic Sciences"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Achalasia is a motor disorder of the esophagus, with an estimated prevalence of 1 in 10,000 people worldwide. Clinically, it is expressed by progressive dysphagia for solids and liquids, regurgitation of undigested food, and chest pain. In very rare cases, achalasia could become complicated by severe esophageal distension. We report the case of a 45\u2010year\u2010old man who experienced a sudden loss of consciousness during a meal. Endotracheal intubation was impossible due to a tracheal obstruction of unknown origin. Autopsy revealed major distension of the esophagus (maximum diameter of 18\u2009cm), filled with 1 L of gastric contents, compressing the upper airways. Toxicological analyses were positive for buprenorphine, cocaine, ketamine, and tetrahydrocanabinol (THC) at nontoxic concentrations, as well as for drugs administered during resuscitation (morphine and midazolam). The death resulted from mechanical asphyxia due to compression of the upper airways by esophageal distension. This report emphasizes the importance of a meticulous autopsy and comprehensive medical history in cases of esophageal distension, in order to detect the various potential mechanisms of death.<\/jats:p>","DOI":"10.1111\/1556-4029.70323","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T04:34:54Z","timestamp":1775104494000},"page":"1894-1898","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sudden death secondary to compression of the upper airway by esophageal distension"],"prefix":"10.1111","volume":"71","author":[{"given":"Manon","family":"Hache","sequence":"first","affiliation":[{"name":"Forensic Medicine Department CHU Dijon Bourgogne  Dijon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Matheux","sequence":"additional","affiliation":[{"name":"Toxicology Department CHU Dijon Bourgogne  Dijon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Guerard","sequence":"additional","affiliation":[{"name":"Toxicology Department CHU Dijon Bourgogne  Dijon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tania","family":"Panter","sequence":"additional","affiliation":[{"name":"Forensic Medicine Department CHU Dijon Bourgogne  Dijon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e9lanie","family":"Loiseau","sequence":"additional","affiliation":[{"name":"Forensic Medicine Department CHU Dijon Bourgogne  Dijon France"},{"name":"INSERM UMR 1231 Universit\u00e9 Bourgogne Europe  Dijon France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.revmed.2023.04.200"},{"key":"e_1_2_10_3_1","unstructured":"Lyon Civil Hospitals.Achalasie ou m\u00e9ga \u0153sophage [Achalasia or mega oesophagus].2021[cited 2024 November]. Available from:https:\/\/www.chu\u2010lyon.fr\/achalasie"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1088\/1755\u20101315\/125\/1\/012209"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.230111\u2010f"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.2996"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g6154"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.53738\/REVMED.2017.13.567.1248"},{"key":"e_1_2_10_9_1","volume-title":"Hiatal hernia","author":"Smith RE","year":"2026"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1344\u20106223(02)00146\u20103"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2008.05.042"},{"key":"e_1_2_10_12_1","volume-title":"Achalasia","author":"Momodu II","year":"2025"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016\u20105085(58)80008\u20106"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nmd.2007.06.200"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102265.1996.7630779.x"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.54040"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v12.i31.5087"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.31.4.456"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.4322\/acr.2016.024"},{"issue":"4","key":"e_1_2_10_20_1","first-page":"362","article-title":"Acute upper\u2010airway obstruction in achalasia of the esophagus","volume":"82","author":"Dominguez F","year":"1987","journal-title":"Am J Gastroenterol"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102044.1992.tb01952.x"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102044.1991.tb09918.x"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1520\/JFS13628J"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/0379\u20100738(95)01777\u20101"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1556\u20104029.2006.00068.x"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12967\u2010023\u201004786\u20100"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.4103\/1817\u20101737.53347"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1556\u20104029.2008.00912.x"},{"key":"e_1_2_10_29_1","unstructured":"VIDAL la base de r\u00e9f\u00e9rence sur les m\u00e9dicaments [VIDAL the reference database on medicines]. 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