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Published on: September 27, 2020
A Case of Fatal Cerebral Air Embolism After Blunt Lung Trauma: Postmortem Computed Tomography and Autopsy Findings
Isabella Mercurio1, Daniele Capano, Riccardo Torre
1From the *Section of Forensic Medicine, Department of Medical, Surgical, and Neurological Sciences, University of Siena, Hospital Santa Maria alle Scotte, Siena; †Section of Radiology, Department of Surgical and Biomedical Sciences, University of Perugia, Hospital Santa Maria della Misericordia, Perugia; ‡Section of Radiology, Hospital Alta Valdelsa, Tuscany; and §Postgraduate School of Public Health, University of Siena, Siena, Italy.
Abstract:
Cerebral air embolism is caused by gas bubbles in the vascular system. These bubbles can cause cerebral ischemia by obstructing encephalic blood vessels. It is frequently associated with blunt and penetrating chest trauma as well as iatrogenic interventions. Lung trauma involving laceration of the respiratory tract, lung parenchyma, and blood vessels may result in direct communication of these structures, driving air or gas into the pulmonary venous system. We report a case of a blunt chest trauma that led to massive arterial air embolism that was possible to recognize with the help of postmortem computed tomographic scan examination.
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