論文

査読有り 国際誌
2013年7月

Temporal evolution in peritoneal hemorrhage as depicted by postmortem CT.

Journal of forensic and legal medicine
  • Daisuke Miyamori
  • ,
  • Noboru Ishikawa
  • ,
  • Yoshihisa Akasaka
  • ,
  • Kei Yamada
  • ,
  • Hiroshi Ikegaya

20
5
開始ページ
548
終了ページ
50
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.jflm.2013.03.010
出版者・発行元
ELSEVIER SCI LTD

BACKGROUND: Computed Tomography (CT) is now utilized as an effective tool for postmortem diagnoses. However, reports on the temporal evolution in imaging findings of these postmortem CT is limited. CASE PRESENTATION: One night, a 66 year old male following drinking at a bar on his way home slept in the road. He was ran over by a taxi at 01:28 and immediately transferred to a nearby hospital. During his transfer to the hospital, he lost consciousness and fell into a state of cardiopulmonary arrest, and died despite resuscitation attempts. CT images were taken at 02:30. Following this, CT images were re-taken 54 h after death, just prior to a medicolegal autopsy. RESULT & DISCUSSION: Small amount of intra-abdominal hemorrhage was found during the initial CT examination. However, the extent of intra-abdominal bleeding observed during the second CT examination performed 54 h later had substantially increased. During the autopsy, the amount of intra-abdominal hemorrhage was 1700 mL. Injury to the mesentery, liver and pancreas was also observed. Additional major injuries discovered during the autopsy were, skin abrasions and lacerations of the scalp, subarachnoid hemorrhage, fractures of the ribs, right humerus, and pelvic bones. The deceased postmortem blood alcohol level was 2.4 mg/mL. The cause of death was determined as exanguination due to systemic injury. The mechanism of the postmortem increase in the intra-abdominal hemorrhage remained unknown. However, the amount of bleeding found during autopsies may not be the same as that at the time of death. As a result, the criteria for the diagnosis of the cause of death in autopsies should be carefully reconsidered. In addition, accompanying CT imaging at the time of death and possible postmortem changes should be carefully considered in postmortem CT imaging, so that there will not be incorrect assignment of the causes of death.

リンク情報
DOI
https://doi.org/10.1016/j.jflm.2013.03.010
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/23756533
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000321232200034&DestApp=WOS_CPL
URL
http://orcid.org/0000-0002-8207-2213
ID情報
  • DOI : 10.1016/j.jflm.2013.03.010
  • ISSN : 1752-928X
  • ORCIDのPut Code : 43823933
  • PubMed ID : 23756533
  • Web of Science ID : WOS:000321232200034
  • ORCIDで取得されたその他外部ID : a:1:{i:0;a:1:{s:0:"";s:0:"";}}

エクスポート
BibTeX RIS