Fukuda Haruki, Kubo Rieko, Shiraishi Miyuki, Tokue Hiroyuki, Hayakawa Akira, Sano Rie, Kominato Yoshihiko
Department of Legal Medicine, Gunma University, Graduate School of Medicine, 3-39-22 Showa-Machi, Maebashi, 371-8511, Japan.
Department of Diagnostic Radiology & Nuclear Medicine, Gunma University, Graduate School of Medicine, Maebashi, 371-8511, Japan.
Forensic Sci Med Pathol. 2025 Jun;21(2):1012-1015. doi: 10.1007/s12024-024-00883-8. Epub 2024 Aug 20.
A deceased man in his 50 s was found with his neck over a broken glass door frame, with blood around the body. A non-contrast postmortem computed tomography (PMCT) scan revealed subcutaneous hemorrhage, temporal bone fracture, and cerebral contusion. Also, wounds extending from the anterior to posterior neck and the presence of air in the cervical vessels suggested cervical vascular injury. A virtual angioscopy image reconstructed from PMCT angiography data revealed a ruptured left common carotid artery and allowed accurate measurement of the injury. This case demonstrates the effectiveness of postmortem virtual angioscopy for visualization and evaluation of vascular injuries, providing valuable insights for forensic investigation.
一名50多岁的男性死者被发现颈部卡在一个破碎的玻璃门框上，尸体周围有血迹。非增强尸检计算机断层扫描（PMCT）显示有皮下出血、颞骨骨折和脑挫伤。此外，从前颈部延伸至后颈部的伤口以及颈部血管内存在空气提示颈部血管损伤。从PMCT血管造影数据重建的虚拟血管镜图像显示左颈总动脉破裂，并能准确测量损伤情况。该病例证明了尸检虚拟血管镜在血管损伤可视化和评估方面的有效性，为法医调查提供了有价值的见解。
