Victorian Institute of Forensic Medicine, 65 Kavanagh Street, Southbank, VIC, 3006, Australia.
Forensic Science SA, 21 Divett Place, Adelaide, SA, 5000, Australia.
Forensic Sci Med Pathol. 2022 Dec;18(4):485-490. doi: 10.1007/s12024-022-00507-z. Epub 2022 Jul 27.
Spontaneous iliac vein rupture is a rare cause of retroperitoneal hemorrhage that may present to the forensic pathologist. It has been reported in association with venous thrombosis, anatomical variants such as May-Thurner syndrome, and as a complication of a long-term indwelling IVC filter. It has a female predominance and most often occurs due to rupture of the left iliac vein. This is the first report of the use of post-mortem computed tomography (PMCT) and post-mortem computed tomography angiography (PMCTA) as an adjunct to a conventional autopsy to diagnose rupture of the left iliac vein causing retroperitoneal hemorrhage arising as a complication of an inferior vena cava (IVC) thrombus. We discuss the use of PMCTA as a useful tool in the diagnosis of vascular injury and how it can be used to assist the forensic pathologist. The use of PMCT with PMCTA is an invaluable adjunct to conventional autopsy to diagnose the site of vascular rupture.
自发性髂静脉破裂是一种罕见的腹膜后出血原因，可能会引起法医病理学家的注意。它与静脉血栓形成、解剖变异（如 May-Thurner 综合征）以及长期留置下腔静脉滤器的并发症有关。它以女性为主，最常发生于左侧髂静脉破裂。这是首例报道使用死后计算机断层扫描（PMCT）和死后计算机断层血管造影（PMCTA）作为常规尸检的辅助手段来诊断左髂静脉破裂导致下腔静脉（IVC）血栓形成并发症引起的腹膜后出血。我们讨论了 PMCTA 在诊断血管损伤中的有用工具，以及如何将其用于协助法医病理学家。PMCT 联合 PMCTA 的使用是对常规尸检的有益补充，有助于诊断血管破裂的部位。
