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Application of Hemostatic Devices in Laparoscopic Hepatectomy

Application of Hemostatic Devices in Laparoscopic Hepatectomy

Published on: April 19, 2022

Temporal evolution in peritoneal hemorrhage as depicted by postmortem CT.

Daisuke Miyamori¹, Noboru Ishikawa, Yoshihisa Akasaka

¹Department of Forensic Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajiicho, Kamigyo, Kyoto 602-8566, Japan.

Journal of Forensic and Legal Medicine

|June 13, 2013

Summary

This summary is machine-generated.

Postmortem Computed Tomography (CT) revealed a significant increase in intra-abdominal hemorrhage 54 hours after death. This highlights the importance of considering postmortem changes in CT imaging for accurate cause of death determination.

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Area of Science:

Forensic pathology
Radiology
Medical imaging

Background:

Computed Tomography (CT) is a valuable tool for postmortem diagnosis.
Limited research exists on the temporal evolution of postmortem CT findings.

Observation:

A 66-year-old male, involved in a fatal pedestrian-taxi accident, underwent two CT scans.
The initial CT scan was performed shortly after death (02:30), with a second scan 54 hours later, prior to autopsy.
The deceased had a postmortem blood alcohol level of 2.4 mg/mL.

Findings:

Initial CT showed minimal intra-abdominal hemorrhage.
A substantial increase in intra-abdominal bleeding was observed in the second CT scan.
Autopsy revealed 1700 mL of intra-abdominal hemorrhage, along with injuries to the mesentery, liver, pancreas, scalp, brain (subarachnoid hemorrhage), ribs, humerus, and pelvis.

Implications:

The observed increase in hemorrhage suggests postmortem changes can significantly alter imaging findings.
Autopsy findings may not always reflect the exact state at the time of death.
Careful consideration of postmortem CT imaging and potential changes is crucial for accurate cause of death assignment.