New pitfalls of high-density postmortem computed tomography
2014; Elsevier BV; Volume: 16; Issue: 5 Linguagem: Inglês
10.1016/j.legalmed.2014.05.004
ISSN1873-4162
AutoresAyumi Kanazawa, Hideki Hyodoh, Satoshi Watanabe, Marika Fukuda, Miho Baba, Shunichiro Okazaki, Keisuke Mizuo, Etsuko Hayashi, Hiromasa Inoue,
Tópico(s)Forensic Entomology and Diptera Studies
ResumoAn 80-year-old female was transferred to the hospital due to a traffic accident. Multiple cranial bone fractures with intracranial hemorrhage and intracranial air were detected. Despite treatment, the patient died after 6h. Twenty-one hours after the patient died, her whole body was scanned by postmortem CT, and a region of high density was detected within the left putamen. The autopsy revealed a cerebral contusion and multiple skull base fractures. Moreover, superabsorbent polymers (SAPs) were found within the left lateral ventricle and adjacent to the putamen, which appeared as a high-density lesion on postmortem CT at the left putamen, where the SAPs were compacted. Both ante- and postmortem conditions should be considered to prevent misdiagnoses based only on postmortem CT.
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