Ampanozi Garyfalia, Schwendener Nicole, Krauskopf Astrid, Thali Michael J, Bartsch Christine
Department of Forensic Medicine and Imaging, Institute of Forensic Medicine, University of Zurich, Winterthurerstrasse 190/52, 8057, Zurich, Switzerland.
Forensic Sci Med Pathol. 2013 Mar;9(1):68-72. doi: 10.1007/s12024-012-9369-3. Epub 2012 Sep 6.
The body of a 59 year old woman underwent postmortem computed tomography (PMCT) examination prior to forensic autopsy, using a 256 slice multidetector row computed tomography scanner. A large left tension pneumothorax detected on the PMCT was considered to be a likely cause of death and this was confirmed at autopsy. In addition there was an unsuspected PMCT finding of a probable gunshot injury traversing the right orbit, facial bones and frontal sinus. The autopsy technique was adjusted accordingly and PMCT findings confirmed. PMCT in this case was not only diagnostic of cause of death, but also revealed retained projectile fragments of an old gunshot wound to the face. Without prior imaging such findings would have been undetected at autopsy. This case further underscores the contribution of routine PMCT examination to forensic autopsy practice.
一名59岁女性的尸体在法医尸检前接受了尸体计算机断层扫描（PMCT）检查，使用的是一台256层多排探测器计算机断层扫描仪。PMCT检测到的左侧大量张力性气胸被认为是可能的死因，尸检时得到了证实。此外，PMCT还意外发现了一处可能的枪伤，子弹穿过右眼眶、面部骨骼和额窦。尸检技术相应进行了调整，PMCT的检查结果得到了证实。在这个案例中，PMCT不仅诊断出了死因，还发现了面部陈旧性枪伤残留的弹片。如果没有事先进行影像学检查，这些发现尸检时将无法被检测到。该案例进一步强调了常规PMCT检查对法医尸检实践的贡献。
