Laceration of Abdominal Aorta by a Fragment of Fractured L2 Vertebral Body After a Low-Energy Injury

Dudko, Sławomir; Kusz, Damian; Ziaja, Damian; Kusz, Błażej

doi:10.1097/brs.0b013e3182685a36

Cited by 7 publications

(2 citation statements)

References 16 publications

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“…The accurate analysis of skeletal remains showing cut marks or any other kind of lesion, are fundamental when soft tissues are absent or badly preserved [25,26]. A wide range of analysis can be employed and the evaluation of the results is object of a forensic anthropological study: the information that can be extrapolated could be critical in the process of identifying the class of tool, employed to perform the lesion.…”

Section: Discussionmentioning

confidence: 99%

Study of Skeletal Remains: Solving a Homicide Case with Forensic Anthropology and Review of the Literature

Donato¹,

Aless²,

Luca³

et al. 2016

J Forensic Anthropol

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The present study examines a case in which signs of incised wounds were found on skeletal remains of a murder victim. The authors have studied the skeletal remains and the dynamics of the murder in order to reconstruct the kind of weapon utilized. The bones examined belonged to a woman that had disappeared from almost 10 years and where recovered from the garden of the house belonging to her former partner. The main feature of these remains was the discovery of a damage of a thoracic vertebra (T1). Our examination has the objective to enhance the macroscopic analysis of the skeletal remains in order to deduce information about the classification of specific damages and the dynamics that have caused them and the identification of the weapon that had been used. Highly decomposed bodies, as in skeletal remains, having poor or absent biological tissue on it, challenge the operator to classify the exact nature of the damage, and in some cases, it does not allow achieving a significant level of certainty. In order to solve this critical situation, Forensic Anthropology may contribute greatly by supplying a great amount of information that would not be deciphered otherwise. The bone, main study object of the Forensic Anthropology, may also register, as the soft tissues, the features of the damaging pattern. The opportunity to extrapolate this kind of data, allows analysing the dynamics and the nature of the kind of weapon used. In certain cases the incised bone present also features that allow to identify the exact structure of the weapon: of course, not every wound damages the bone, but when this actually happens, the morphological appearance of the instrument utilized remains crystallized in time, excluding of course the cases in which the bones are destroyed. Many other studies, concerning the characterization of lesions due to sharp objects, have been done and a review of related literature has been included in this article. The major goal of the authors is to highlight the importance of the information that can be extrapolated: the usefulness of the classification of the weapons used to provoke the lesion, could reach a more accurate evaluation in order to significantly help in case of forensic assessment.

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Section: Discussionmentioning

confidence: 99%

Study of Skeletal Remains: Solving a Homicide Case with Forensic Anthropology and Review of the Literature

Donato¹,

Aless²,

Luca³

et al. 2016

J Forensic Anthropol

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“…The mechanism responsible for aortic injury is still not entirely clear. In the literature, it has been suggested that an aortic injury generally occurs either through excessive distraction and stretching of the vessels by C-fracture with antero-posterior dislocation, or through direct trauma to the vessel wall by a fragment of fractured vertebral body [10,29]. A study of the mechanisms of thoracic fractures and associated aortic injury requires a detailed knowledge of the anatomy of the spine and aorta.…”

Section: Mechanismmentioning

confidence: 99%

Thoracic Spine Fractures with Blunt Aortic Injury: Incidence, Risk Factors, and Characteristics

Deng

Tang

et al. 2021

JCM

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Background: The coexistence of thoracic fractures and blunt aortic injury (BAI) is potentially catastrophic and easy to be missed in acute trauma settings. Data regarding patients with thoracic fractures complicated with BAI are limited. Methods: The authors conducted a prospective, observational, single-center study including patients with thoracic burst fractures. A multivariate logistic regression model was developed to determine the risk factors of aortic injury. Results: In total, 124 patients with burst fractures of the thoracic spine were included. The incidence of BAI was 11.3% (14/124) in patients with thoracic burst fractures. Among these patients, 11 patients with BAI were missed diagnoses. The main risk factors of BAI were as follows: Injury severity score (OR 1.184; 95% CI, 1.072–1.308; p = 0.001), mechanism of injury, such as crush (OR 10.474; 95% CI, 1.905–57.579; p = 0.007), flail chest (OR = 4.917; 95% CI, 1.122–21.545; p = 0.035), and neurological deficit (OR = 8.299; 95% CI, 0.999–68.933; p = 0.05). Conclusions: BAI (incidence 11.3%) is common in patients with burst fractures of the thoracic spine and is an easily missed diagnosis. We must maintain a high suspicion of injury for BAI when patients with thoracic burst fractures present with these high-risk factors.

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Ruptured Abdominal Aortic Aneurysms and Major Vascular Injuries

Perini¹,

Massoni²,

Freyrie³

2017

Acute Care Surgery Handbook

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Laceration of Abdominal Aorta by a Fragment of Fractured L2 Vertebral Body After a Low-Energy Injury

Cited by 7 publications

References 16 publications

Study of Skeletal Remains: Solving a Homicide Case with Forensic Anthropology and Review of the Literature

Study of Skeletal Remains: Solving a Homicide Case with Forensic Anthropology and Review of the Literature

Thoracic Spine Fractures with Blunt Aortic Injury: Incidence, Risk Factors, and Characteristics

Ruptured Abdominal Aortic Aneurysms and Major Vascular Injuries

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