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[A woman with an abnormality in the pericardial cavity]
P Kralt1,2, A Hoogerwaard3
1iGene London Ltd, Sheffield, VerenigdKoninkrijk(tevens: James Cook University Hospital, dep. Radiology, Middlesbrough, Verenigd Koninkrijk).
Insights
Post mortem CT imaging revealed hemopericardium, indicating fluid in the pericardial sac. This finding confirmed left ventricular rupture due to acute myocardial infarction as the cause of death.
Area of Science:
- Forensic pathology
- Cardiovascular imaging
- Medical diagnostics
Background:
- Sudden death investigations require accurate determination of cause of death.
- Post mortem imaging is increasingly utilized in forensic pathology.
- Acute myocardial infarction can lead to fatal cardiac rupture.
Abstract:
An 84-year-old woman was found dead at home. There were no suspicious circumstances. Non-contrast enhanced post mortem CT was performed to establish the cause of death. CT showed hyperdense fluid in the pericardial cavity consistent with hemopericardium secondary to left ventricular rupture caused by acute myocardial infarction.
Related Concept Videos
Pericarditis I: Introduction
Pericarditis II: Clinical Features and Diagnostic Tests
Cardiovascular System Abnormal Findings II: Auscultation
Abnormal Heart Sounds
Gallops:
Cardiovascular System Abnormal Findings I: Inspection and Palpation
Abnormal findings observed during an inspection
Location and Orientation of the Heart
Pericarditis III: Medical Management

