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Volume 11, Issue 1, Pages 4-9 (January 2009)

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1 Volume 11, Issue 1, Pages 4-9 (January 2009)
Injuries due to sharp trauma detected by post-mortem multislice computed tomography (MSCT): A feasibility study  J. Schnider, M.J. Thali, S. Ross, L. Oesterhelweg, D. Spendlove, S.A. Bolliger  Legal Medicine  Volume 11, Issue 1, Pages 4-9 (January 2009) DOI: /j.legalmed Copyright © 2008 Elsevier Ireland Ltd Terms and Conditions

2 Fig. 1 MSCT, axial image through the chest. The stab channel (arrow) is clearly visible due to the influx of air. A small accumulation of fluid, in this case blood (X) is seen in the left thoracic cavity. Legal Medicine  , 4-9DOI: ( /j.legalmed ) Copyright © 2008 Elsevier Ireland Ltd Terms and Conditions

3 Fig. 2 MSCT, sagittal view of the chest. Here, the stab wound (solid arrow) contrasts well to the lung tissue due to the bleeding into the wound channel. Note also the pneumothorax (dashed arrow) and the blood in the thoracic cavity (X). Legal Medicine  , 4-9DOI: ( /j.legalmed ) Copyright © 2008 Elsevier Ireland Ltd Terms and Conditions

4 Fig. 3 MSCT, 3D bone reconstruction showing lesions to the ribs (arrows). Legal Medicine  , 4-9DOI: ( /j.legalmed ) Copyright © 2008 Elsevier Ireland Ltd Terms and Conditions

5 Fig. 4 Axial MSCT image of a chest. The anterior wall of the left ventricle displays an injury (circle). The arrow designates an emphysema of the chest muscles. Note also the haemothorax on the right (X). Legal Medicine  , 4-9DOI: ( /j.legalmed ) Copyright © 2008 Elsevier Ireland Ltd Terms and Conditions

6 Fig. 5 MSCT, axial minimum intensity projection image of a head. Note the gas-filled blood vessels corresponding to lethal air embolism. As there was no open oval foramen of the heart, this gas must have entered the systemic vascular bed via stab-induced arterio-venous shunts. Legal Medicine  , 4-9DOI: ( /j.legalmed ) Copyright © 2008 Elsevier Ireland Ltd Terms and Conditions

7 Fig. 6 Axial MSCT image of the chest. The pericardial sack is filled with blood (solid arrow), the right cardiac chambers contain gas (dashed arrow) as a sign indicating an air embolism. The left thoracic cavity contains a fluid which has separated to a hyperdense (black X) and a hypodense (white X) layer. This sedimentation is typical for large haemorrhages, in which the more radioopaque corpuscular components of the blood sink, thus giving rise to a hypodense, cell-poor supernatant. Legal Medicine  , 4-9DOI: ( /j.legalmed ) Copyright © 2008 Elsevier Ireland Ltd Terms and Conditions


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