Fatal bronchovascular fistula after lobectomy visualized through postmortem computed tomography angiography: A case report

Hinderberger, Philipp; Fliss, Barbara; Thali, Michael J.; Schweitzer, Wolf

doi:10.1007/s12024-017-9867-4

Cited by 8 publications

(4 citation statements)

References 21 publications

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“…With this lesson in mind, in the subsequent studies, angiography incorporated forensic imaging emerged remarkable role in differentiation of hemopericardium due to ruptured myocardial infarction or aortic dissection on unenhanced CT [ 49 ]. In addition, researchers successfully applied angiography without traditional autopsy in a fatal bronchovascular fistula after lobectomy case [ 50 ] which further confirmed angiography is technically feasible in forensic pathology.…”

Section: The Application Of Forensic Imaging In Different Forensic Di...mentioning

confidence: 89%

Forensic Imaging: A Powerful Tool in Modern Forensic Investigation

Zhang

2022

Forensic Sciences Research

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Forensic imaging is a non-invasive examination process during the forensic investigation. It is mainly used in forensic pathology as an adjunct to the traditional autopsy. In the past two decades, forensic imaging has been vigorously developed by forensic experts from computed tomography (CT) to multiple augmented techniques through CT and magnetic resonance imaging (MRI). The application field of forensic imaging has also been broadened as its advantages are recognised by more forensic practitioners. In addition to the forensic pathology, this technique has been used in other forensic disciplines, including forensic anthropology, forensic odontology, forensic ballistics and wildlife forensics, etc. This article reviews the development of forensic imaging as the practice and research development in different forensic disciplines based on the relevant literature analysis.

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Section: The Application Of Forensic Imaging In Different Forensic Di...mentioning

confidence: 89%

Forensic Imaging: A Powerful Tool in Modern Forensic Investigation

Zhang

2022

Forensic Sciences Research

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“…Bronchovascular fistula may be seen after simple lobectomy (114) but most frequently complicates bronchoplastic sleeve resection with an incidence of approximately 2% (110,115,116). The majority of cases of bronchovascular fistula occur after upper lobectomy with over half after right upper lobe resection and approximately one third after left upper lobectomy (113).…”

Section: Bronchovascular Fistulamentioning

confidence: 99%

Post-lobectomy airways complications

Wallwork¹,

Belcher²

2021

Shanghai Chest

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Post-lobectomy airways complications are associated with significant morbidity and mortality.Lobar torsion, bronchopleural fistula and bronchovascular fistula pose a challenge to the clinician to secure timely diagnosis and intervention in order to improve outcomes. We discuss the aetiology, presentation, prevention and management of lobar torsion, bronchopleural and bronchovascular fistula and anastomotic complications following lobar resection. Judicious surgical technique and effective employment of preventative strategies may reduce the risk of airway complications. Presentation of post-lobectomy airway complications may be non-specific but are often rapidly progressive. Computed tomography (CT) and bronchoscopy are essential diagnostic tools to support clinical suspicion. The pillars of successful management of post-lobectomy airway complications are a high degree of clinical suspicion, prompt investigation and early intervention. These are essential to minimise perioperative mortality and long-term sequelae. Minimal access surgery and novel endobronchial techniques have expanded the treatment options for post-lobectomy bronchial complications in selected patients.

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“…A wider adoption into practice may be desirable seeing as if PMCTA, in general, has become known to help solve particularly tricky forensic pathology cases [1,2,3,4,5,6,7,8,9,10] even in decomposed bodies [11].…”

Section: Introductionmentioning

confidence: 99%

“…(I-K) Insertion of femoral catheter into femoral or iliacal vessel substrate (for better instruction, a thin walled silicone tube is used):after tensioning of vessel substrate (2) with string (1), partial cut(4) with scissors(3) to insert femoral catheter(5), looping string(1) around circular supports(6, but see alsoFig. 2/a/iii) of femoral catheter (5) by pulling loop using stylet through occlusion(7) tube, then fixing string using quick release clamp(8), creating firm tension at loop-vessel-catheter junction(9).…”

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confidence: 99%

Very affordable post mortem CT angiography kit: Feasibility study using immersion pump and 3D printed parts

Schweitzer

Enders

Thali

2019

Journal of Forensic Radiology and Imaging

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The high cost of commercial components and parts for post-mortem computed tomography angiography (PMCTA) has resulted in the development of a very low cost PMCTA-kit. It contains ubiquitous parts from hardware stores, and rapid prototyping derived models for 3D-printing. Design specifications have been tested and improved after finite-element modeling. A case study performed in using the final PMCTA kit parts for a PMCTA shows perfect vascular contrast without relevant leaks.

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Fatal bronchovascular fistula after lobectomy visualized through postmortem computed tomography angiography: A case report

Cited by 8 publications

References 21 publications

Forensic Imaging: A Powerful Tool in Modern Forensic Investigation

Forensic Imaging: A Powerful Tool in Modern Forensic Investigation

Post-lobectomy airways complications

Very affordable post mortem CT angiography kit: Feasibility study using immersion pump and 3D printed parts

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