Post mortem computed tomography: Useful or unnecessary in gunshot wounds deaths? Two case reports

Maiese, Aniello; Gitto, Lorenzo; Matteis, Alessandra De; Panebianco, Valeria; Bolino, Giorgio

doi:10.1016/j.legalmed.2014.06.005

Cited by 34 publications

(21 citation statements)

References 13 publications

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“…The radiological examination was extremely useful in order to exclude traumatic injuries such as hyoid bone fractures and larynx cartilages fractures (due to strangulation), wound paths of bullets or fragments inside the body (due to gunshots), and rib fractures or other bone fractures (due to blunt force traumas). 12,13 The autopsy examination revealed that all internal organs had spontaneously mummified and slightly decomposed, but no gross injuries due to traumas were detected. The toxicological analyses, performed following the current literature, 14e16 were unremarkable.…”

Section: Discussionmentioning

confidence: 99%

A scream from the past: A multidisciplinary approach in a concealment of a corpse found mummified

Gitto

Bonaccorso

Maiese

et al. 2015

Journal of Forensic and Legal Medicine

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Section: Discussionmentioning

confidence: 99%

A scream from the past: A multidisciplinary approach in a concealment of a corpse found mummified

Gitto

Bonaccorso

Maiese

et al. 2015

Journal of Forensic and Legal Medicine

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“…PMCTA added further information to PMCT findings, such as the source of a bleeding, the passage of blood through abnormally compromised ostia, the occlusion of coronary arteries, covered and free perforation, and dysfunctions of implanted valves. PMCT has found in the new millennium several other applications in forensic investigation, e.g., for the detection of spine injuries [60], gunshot wounds [61], strangulation [59] (Fig. 4), drowning [63], rib fractures [67], blunt force traumas [69], body packers [75], and many others [76][77][78][79][80][81][82][83][84].…”

Section: Further Applications Of Pmct and Pmcta In Forensic Investigamentioning

confidence: 99%

Postmortem-computed tomography and postmortem-computed tomography–angiography: a focused update

et al. 2015

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The use of multidetector CT (MDCT) represents a reality routinely used in several forensic institutes, for the numerous advantages that this diagnostic tool can provide; costs are becoming increasingly lower; data acquisition is always faster and once acquired may be revalued at any time. However, there are also some diagnostic limitations, for example, the visualization of the vascular system or a limited soft tissue contrast. In order to overcome these limitations, in recent years, contrast medium has been introduced in postmortem cases, with the development of several techniques of PMCT angiography (PMCTA) and standardized protocols to make them easily reproducible. The aim of this review is to highlight the advantages and pitfalls of PMCT and PMCTA in forensic investigation, taking into consideration the broad spectrum of applications both for natural and unnatural deaths and the numerous methods currently used. Secondly, in the light of the considerable progress in this field and the attempt to develop standardized protocols of PMCTA, the authors aim to evaluate the diagnostic value of PMCTA in comparison both to PMCT and conventional autopsy.

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“…PMCT provides accurate illustration of body lesions, visualization of wound paths, and very accurate localization of bullets and their fragments. Moreover, PMCT can be valuable for the assessment of channels of projectiles, and in contrast to the evisceration of organs during a postmortem autopsy, PMCT allows for the evaluation of the undisturbed anatomy (Tartaglione et al 2012;Maiese et al 2014).…”

Section: Introductionmentioning

confidence: 99%

Postmortem computed tomography and autopsy for detection of lesions and causes of death in gunshot injury cases: a comparative study

Elkhateeb

Mohammed²,

Meleka

et al. 2018

Egypt J Forensic Sci

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Background: Firearm injuries are a common cause of death in cases typically investigated by medical examiners. Postmortem multislice computed tomography (PMCT) provides valuable information that enhances the autopsy examination. This study was conducted to compare PMCT and autopsy for the detection of injuries and causes of death in cases of fatal firearm injuries. Thirty cadavers were scanned with PMCT and then underwent autopsy. The results of the two techniques were compared regarding entry wounds, wound channels, detection of foreign bodies, organ and skeletal injuries, and causes of death to determine the concordance or discordance between the two techniques. Results: The results revealed excellent agreement between PMCT and autopsy for the detection of injuries and causes of death in cases of gunshot injury. Furthermore, PMCT revealed injuries such as pneumothorax and surgical emphysema that were found to be undetermined by autopsies where the special dissection technique was not part of our routine procedures. Conclusion: PMCT could be a valuable complementary tool for autopsies to determine and localize injuries and causes of death in cases of gunshot injury.

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Post mortem computed tomography: Useful or unnecessary in gunshot wounds deaths? Two case reports

Cited by 34 publications

References 13 publications

A scream from the past: A multidisciplinary approach in a concealment of a corpse found mummified

A scream from the past: A multidisciplinary approach in a concealment of a corpse found mummified

Postmortem-computed tomography and postmortem-computed tomography–angiography: a focused update

Postmortem computed tomography and autopsy for detection of lesions and causes of death in gunshot injury cases: a comparative study

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