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Published on: September 27, 2020
Role of Postmortem CT in the Forensic Evaluation of Hemopericardium
Laura Filograna1, Luca Pugliese1, Adolfo D'Onofrio1
1Department of Diagnostic and Interventional Radiology, Molecular Imaging and Radiotherapy, PTV Foundation, "Tor Vergata" University of Rome, Rome, Italy.
Insights
Postmortem computed tomography (PMCT) is crucial for identifying hemopericardium (HP), blood in the pericardial sac. This imaging technique aids in diagnosing pericardial tamponade when traditional autopsy methods fall short.
Area of Science:
- Forensic pathology
- Radiology
- Cardiology
Background:
- Hemopericardium (HP) involves blood accumulation in the pericardial sac.
- HP can lead to pericardial tamponade, a life-threatening condition.
- Prompt identification of HP is clinically significant.
Purpose of the Study:
- To review current knowledge on postmortem computed tomography (PMCT) findings in hemopericardium.
- To emphasize the role of PMCT in assessing the significance of HP in forensic diagnoses.
- To highlight PMCT as an aid in cases where classical autopsy may be insufficient.
Main Methods:
- Review of existing literature and imaging findings related to PMCT in hemopericardium.
- Analysis of PMCT's utility in evaluating the impact of HP on cardiac function.
- Correlation of PMCT findings with forensic diagnosis of the cause of death.
Main Results:
- PMCT is a valuable tool for detecting hemopericardium.
- PMCT can assess the significance of HP in causing mechanical cardiac impairment.
- PMCT findings are particularly useful in forensic investigations of cardiac death.
Conclusions:
- Postmortem CT imaging offers significant advantages in diagnosing hemopericardium and pericardial tamponade.
- PMCT can provide critical information when conventional autopsy methods are inconclusive.
- The application of PMCT in forensic pathology for hemopericardium diagnosis is a key area of advancement.
Abstract:
Hemopericardium (HP) is defined as the accumulation of blood in the pericardial sack. In a clinical setting, prompt identification of the presence of HP is of huge importance, because HP can result in pericardial tamponade. While echocardiography remains the most appropriate method for the evaluation of pericardial effusions in the clinical setting, postmortem imaging computed tomography (PMCT) is a valuable instrument for detecting the presence of HP and in evaluating its significance in causing mechanical impairment of cardiac activity and finally death. In this article, the actual knowledge on PMCT imaging findings related to HP are reported, with particular attention to the assessment of its significance with relation to the forensic diagnosis of the cause of death. According to the present work, the diagnosis of pericardial tamponade due to HP might be considered one of the critical fields of investigation where classical autopsy may fail and where PMCT imaging may offer its most important aids.
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