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Published on: September 27, 2020
Management of medicolegal natural deaths from hemopericardium or hemothorax using postmortem CT scanning
Michael Burke1, Sarah Parsons, Richard Bassed
1Department of Forensic Medicine, Victorian Institute of Forensic Medicine, Monash University, 57-83 Kavanagh St, Southbank, Melbourne, VIC, Australia. michaelb@vifm.org
Insights
Forensic pathologists can use postmortem CT angiography to investigate natural deaths involving hemopericardium and hemothorax. This imaging technique aids in managing complex medico-legal death investigations.
Area of Science:
- Forensic Pathology
- Radiology
- Medical Imaging
Background:
- Forensic pathologists provide expert medical advice to coroners.
- Hemopericardium and hemothorax are common causes of natural death in forensic cases.
- Postmortem CT (PMCT) scanning is effective in identifying these conditions.
Observation:
- This study examines three cases involving natural death due to hemopericardium and hemothorax.
- Postmortem CT angiography (PMCTA) was employed in the management of these cases.
- The utility of PMCTA in forensic pathology was evaluated.
Findings:
- PMCT angiography proved useful in managing the presented cases of hemopericardium and hemothorax.
- The technique facilitated medico-legal death investigation.
- PMCTA offers valuable insights in complex forensic scenarios.
Implications:
- PMCT angiography demonstrates significant potential as a tool in medico-legal death investigation.
- The findings suggest PMCTA can enhance the diagnostic capabilities of forensic pathologists.
- This technique may improve the understanding and management of natural deaths presenting with hemopericardium and hemothorax.
Abstract:
At the Victorian Institute of Forensic Medicine the forensic pathologist provides expert medical advice to the Coroner. Cases of natural death from hemopericardium and hemothorax are reasonably common in the forensic setting and are readily identifiable on postmortem CT (PMCT) scanning. The management of these cases raises interesting and challenging issues for the forensic pathologist. We present three cases in which PMCT angiography was useful in the management of each individual case and illustrate the potential of the technique in medico-legal death investigation.
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