Fatal delayed hemopericardium and hemothorax following blunt chest trauma

Dokoupil, Marek; Marecová, Klára; Uvíra, Matěj; Joukal, Marek; Mrázková, Eva; Chmelová, Jana; Handlos, Petr

doi:10.1007/s12024-018-0069-5

Cited by 14 publications

(8 citation statements)

References 15 publications

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“…The authors have also encountered minimal ndings of such bleeding as a result of blunt force trauma to the head even in cases where anamnesis of micronodular liver cirrhosis was not present. Another injury that could be inapparent could be an injury to parenchymal organs caused by blunt surface force applied against the thorax or abdomen resulting in fatal bleeding into thoracic/abdominal cavities [27]. Every country's criminal justice system contains some form of requirements for mandatory reporting of ndings that could have led to the death of an individual.…”

Section: Discussionmentioning

confidence: 99%

Anatomical Dissection as a Source of Clinically Relevant Findings with Potential Medico-Legal Implications

Dzetkuličová

Handlos

Vojtíšek

et al. 2022

Preprint

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PurposeBodies bequeathed to anatomical departments of medical schools in the Czech Republic for anatomical teaching and research belong to donors whose manner of death is deemed natural and does not require further investigation with medico-legal autopsies. However, there are rare cases when critical medico-legal findings related to the cause/manner of death or clinically relevant past surgical procedures can be found during anatomical dissection. This article also adds to the wealth of literature supporting the argument that pathologies and clinically relevant findings encountered by medical students during anatomical dissection are an opportunity for problem-based learning and integration of clinically oriented modules into early undergraduate phases of medical degree curricula.MethodsThis article gives an example of an extrapericardial iatrogenic diaphragmatic hernia which was most likely caused by instrument manipulation during a thoracic surgical procedure and went unobserved for three years until the body was subject to anatomical dissection. ResultsAlthough this clinical finding was most likely unconnected to the cause of death of the donor, the case is a cautionary example that bodies undergoing anatomical dissection could contain evidence of previous surgical incaution during invasive procedures. ConclusionsFor the benefit of anatomical technicians and educators, this article also points out some examples when signs of suspicious death could be overlooked by medical professionals who establish a cause of death in bodies which could be a subject to body fixation and subsequent anatomical dissection.

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Section: Discussionmentioning

confidence: 99%

Anatomical Dissection as a Source of Clinically Relevant Findings with Potential Medico-Legal Implications

Dzetkuličová

Handlos

Vojtíšek

et al. 2022

Preprint

Self Cite

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show abstract

“…Two important issues therefore arose: First, blunt chest trauma caused an undiagnosed cardiac contusion, and second, the progressive myocardial necrosis resulted in a fatal heart rupture. When a significant time interval occurs between the BCT and the cardiac rupture, the causal relationship to the blunt traumatic event may be less evident [ 9 ] and not straightforward to establish [ 25 ]. In this regard, the role of forensic pathologists is extremely important.…”

Section: Discussionmentioning

confidence: 99%

Sudden death due to cardiac contusion: Forensic implications in a rare pediatric case

Gentile

Tambuzzi

Giovanetti

et al. 2021

Journal of Forensic Sciences

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“…It has been reported that 90% of patients sustaining severe penetrating chest injuries die before reaching the hospital and, of those that do, mortality ranges from 20% -75%. 4 Cardiac injuries are of two types, viz blunt trauma (blunt cardiac injury -BCI) and penetrating injury. The mechanism of blunt trauma causing internal injury could be a suddenly reduced movement of organshalting, compression of organs between spine and sternum, extension of intra-abdominal injury (hydraulic effect) or a crush injury.…”

Section: Discussionmentioning

confidence: 99%

Acute Myocardial Infarction Due to Knife Injury – A Case Report

Hameed¹

2021

Pak Heart J

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Acute Myocardial Infarction is usually a sequela of atherosclerotic process but can result from some rare causes as well. Trauma to the chest wall either blunt or penetrating can cause such a mishap. Case of a young man is described who sustained STEMI due to severing of Left anterior descending coronary artery by a penetrating knife injury, stabbed on the left side of the chest during a scuffle with bandits. Being resident of a remote area of a very poor neighboring country, the victim couldn’t get the medical care needed and after wandering in various hospitals he reported at my clinic in congestive heart failure. Previous record showed antero-apical wall MI with Pericardial effusion. Thorough workup for elaboration of all the injuries and complications was instituted and the patient was discharged in NYHA functional class I.

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Fatal delayed hemopericardium and hemothorax following blunt chest trauma

Cited by 14 publications

References 15 publications

Anatomical Dissection as a Source of Clinically Relevant Findings with Potential Medico-Legal Implications

Anatomical Dissection as a Source of Clinically Relevant Findings with Potential Medico-Legal Implications

Sudden death due to cardiac contusion: Forensic implications in a rare pediatric case

Acute Myocardial Infarction Due to Knife Injury – A Case Report

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