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Drowning--post-mortem imaging findings by computed tomography.

Andreas Christe1, Emin Aghayev, Christian Jackowski

  • 1Institute of Diagnostic Radiology, University Hospital, Freiburgstrasse, 3010 Bern, Switzerland. andreas.christe@insel.ch

European Radiology
|September 4, 2007
PubMed
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Post-mortem multislice computed tomography (MSCT) effectively identifies drowning indicators, including airway fluid and lung changes. This imaging technique offers advantages over traditional autopsy for detecting signs like bronchospasm and haemodilution.

Area of Science:

  • Forensic pathology
  • Radiology
  • Medical imaging

Background:

  • Drowning diagnosis relies on autopsy findings, which can be challenging.
  • Post-mortem imaging offers a non-invasive approach to identify injury patterns.

Purpose of the Study:

  • To evaluate post-mortem multislice computed tomography (MSCT) for identifying classic autopsy signs of drowning.
  • To compare MSCT findings with traditional autopsy results in drowning cases.

Main Methods:

  • Post-mortem MSCT scans of 10 drowning victims were analyzed.
  • Findings were correlated with autopsy results and compared to 20 non-drowning control cases.
  • Statistical comparison assessed the diagnostic accuracy of MSCT for drowning indicators.

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Main Results:

  • Fluid in airways, central aspiration, and emphysema aquosum were observed in drowning cases.
  • Lung parenchyma showed a mosaic pattern in 60% of drowning cases due to aspiration.
  • MSCT detected haemodilution, stomach distension, and paranasal sinus filling, correlating well with autopsy findings.
  • Paltau's spots were not detected by MSCT.

Conclusions:

  • Post-mortem MSCT is a valuable tool for detecting drowning signs, complementing traditional autopsy.
  • MSCT offers direct visualization of bronchospasm, haemodilution, and sinus fluid, which are difficult to assess during autopsy.