Rana Pradip, Galoria Darshan, Shukla Srushti, Cox William A, Verma Prashant, Dave Shridhar, Datta Arijit
Department of Forensic Medicine, Pramukhswami Medical College & Sri Krishna Hospital, Bhaikaka University, Karamsad, Anand, Gujarat, India.
Retired Forensic Pathologist, Doylestown, PA, USA.
SAGE Open Med Case Rep. 2025 Jun 16;13:2050313X251346388. doi: 10.1177/2050313X251346388. eCollection 2025.
Medicolegal autopsies should be performed for sudden, unexpected, and suspicious deaths. Such autopsies should be performed by a knowledgeable Forensic Pathologist who has experience in performing traditional autopsy techniques, as well as having an understanding of how to supplement these techniques with more scientifically advanced techniques such as magnetic resonance imaging and postmortem computed tomography. In this case, we utilized the traditional Ghon technique to remove the urogenital system, combined with postmortem computed tomography of the coronary arteries and contrast imaging of the ureters. By combining a traditional autopsy technique with more advanced imaging techniques, we were able to definitively establish the cause of death as coronary artery occlusion and, by doing so, remove any suspicion of medical negligence committed by the treating physicians during ureteroscopic bilateral stone removal.
对于突然、意外和可疑死亡情况，应进行法医尸检。此类尸检应由经验丰富的法医病理学家进行，其不仅要具备传统尸检技术的经验，还要了解如何运用磁共振成像和死后计算机断层扫描等更先进的科学技术来辅助这些技术。在本案例中，我们运用传统的贡氏技术移除泌尿生殖系统，同时结合冠状动脉的死后计算机断层扫描和输尿管造影成像。通过将传统尸检技术与更先进的成像技术相结合，我们能够明确确定死因是冠状动脉闭塞，从而消除了对治疗医生在输尿管镜双侧取石过程中存在医疗过失的任何怀疑。
