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Common Postmortem Computed Tomography Findings Following Atraumatic Death: Differentiation between Normal Postmortem Changes and Pathologic Lesions.

Ishida M, Gonoi W, Okuma H, Shirota G, Shintani Y, Abe H, Takazawa Y, Fukayama M, Ohtomo K - Korean J Radiol (2015)

Bottom Line: Computed tomography (CT) is widely used in postmortem investigations as an adjunct to the traditional autopsy in forensic medicine.However, on interpretation, postmortem CT findings that are seemingly due to normal postmortem changes initially, may not have been mere postmortem artifacts.In this pictorial essay, we describe the common postmortem CT findings in cases of atraumatic in-hospital death and describe the diagnostic pitfalls of normal postmortem changes that can mimic real pathologic lesions.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan. ; Department of Radiology, Mutual Aid Association for Tokyo Metropolitan Teachers and Officials, Sanraku Hospital, Tokyo 101-8326, Japan.

ABSTRACT
Computed tomography (CT) is widely used in postmortem investigations as an adjunct to the traditional autopsy in forensic medicine. To date, several studies have described postmortem CT findings as being caused by normal postmortem changes. However, on interpretation, postmortem CT findings that are seemingly due to normal postmortem changes initially, may not have been mere postmortem artifacts. In this pictorial essay, we describe the common postmortem CT findings in cases of atraumatic in-hospital death and describe the diagnostic pitfalls of normal postmortem changes that can mimic real pathologic lesions.

No MeSH data available.


Related in: MedlinePlus

Intramural gas in GI tract caused by antemortem condition in 75-year-old deceased man who underwent CPR (case 15).CT scan obtained 4 hours and 21 minutes after death shows intramural gas throughout GI tract (arrows). Although there may have some contribution from CPR, autopsy proved that he had pneumatosis cystoides intestinalis. CT = computed tomography, GI = gastrointestinal
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Figure 13: Intramural gas in GI tract caused by antemortem condition in 75-year-old deceased man who underwent CPR (case 15).CT scan obtained 4 hours and 21 minutes after death shows intramural gas throughout GI tract (arrows). Although there may have some contribution from CPR, autopsy proved that he had pneumatosis cystoides intestinalis. CT = computed tomography, GI = gastrointestinal

Mentions: In one CPR case (case 15), broad areas of intramural gas were observed throughout the GI tract on postmortem CT (Fig. 13). Although CPR may have contributed, the autopsy proved that he had pneumatosis cystoides intestinalis. Thus, the cause of intramural gas in the GI tract may not be due solely to CPR and occasionally reflects an antemortem condition.


Common Postmortem Computed Tomography Findings Following Atraumatic Death: Differentiation between Normal Postmortem Changes and Pathologic Lesions.

Ishida M, Gonoi W, Okuma H, Shirota G, Shintani Y, Abe H, Takazawa Y, Fukayama M, Ohtomo K - Korean J Radiol (2015)

Intramural gas in GI tract caused by antemortem condition in 75-year-old deceased man who underwent CPR (case 15).CT scan obtained 4 hours and 21 minutes after death shows intramural gas throughout GI tract (arrows). Although there may have some contribution from CPR, autopsy proved that he had pneumatosis cystoides intestinalis. CT = computed tomography, GI = gastrointestinal
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4499544&req=5

Figure 13: Intramural gas in GI tract caused by antemortem condition in 75-year-old deceased man who underwent CPR (case 15).CT scan obtained 4 hours and 21 minutes after death shows intramural gas throughout GI tract (arrows). Although there may have some contribution from CPR, autopsy proved that he had pneumatosis cystoides intestinalis. CT = computed tomography, GI = gastrointestinal
Mentions: In one CPR case (case 15), broad areas of intramural gas were observed throughout the GI tract on postmortem CT (Fig. 13). Although CPR may have contributed, the autopsy proved that he had pneumatosis cystoides intestinalis. Thus, the cause of intramural gas in the GI tract may not be due solely to CPR and occasionally reflects an antemortem condition.

Bottom Line: Computed tomography (CT) is widely used in postmortem investigations as an adjunct to the traditional autopsy in forensic medicine.However, on interpretation, postmortem CT findings that are seemingly due to normal postmortem changes initially, may not have been mere postmortem artifacts.In this pictorial essay, we describe the common postmortem CT findings in cases of atraumatic in-hospital death and describe the diagnostic pitfalls of normal postmortem changes that can mimic real pathologic lesions.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan. ; Department of Radiology, Mutual Aid Association for Tokyo Metropolitan Teachers and Officials, Sanraku Hospital, Tokyo 101-8326, Japan.

ABSTRACT
Computed tomography (CT) is widely used in postmortem investigations as an adjunct to the traditional autopsy in forensic medicine. To date, several studies have described postmortem CT findings as being caused by normal postmortem changes. However, on interpretation, postmortem CT findings that are seemingly due to normal postmortem changes initially, may not have been mere postmortem artifacts. In this pictorial essay, we describe the common postmortem CT findings in cases of atraumatic in-hospital death and describe the diagnostic pitfalls of normal postmortem changes that can mimic real pathologic lesions.

No MeSH data available.


Related in: MedlinePlus