加强创伤评估:腹部刀伤死后计算机断层扫描与尸检结果的对比分析。

Q2 Medicine Medico-Legal Journal Pub Date : 2024-07-29 DOI:10.1177/00258172241245556
Darshan Galoria, Srushti Shukla, Shridhar Dave, Preeti Tiwari, Prateek Rastogi, Pradeep Rana, Dhara Goswami, Arijit Datta
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引用次数: 0

摘要

在创伤性死亡案件中,准确评估伤情对于法律和医学目的都至关重要。本病例报告比较了死后计算机断层扫描与传统尸检方法在评估腹部刀伤方面的发现。一名腹部有多处刀伤的 34 岁女性接受了尸检,包括计算机断层扫描成像。计算机断层扫描显示了皮肤连续性的特殊破损和内伤,包括胃穿孔。常规尸检确认了多处刀伤和相关的内部结构损伤。然而,只有在对腹腔进行人工探查时才发现腹主动脉和下腔静脉等主要血管有额外损伤。本病例突出了死后计算机断层扫描和传统尸检在评估创伤方面的互补作用。虽然计算机断层扫描成像可对损伤进行无创观察,但人工检查对于识别某些损伤,尤其是影响主要血管的损伤仍然至关重要。计算机断层扫描成像与传统尸检方法的结合提高了创伤性死亡案件法医评估的准确性和可靠性,尤其是在涉及多处损伤的复杂案件中。了解这些技术的优势和局限性对于改进法医调查和最终提高医学-法律结果至关重要。
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Enhancing trauma evaluation: Comparative analysis of post-mortem computed tomography and autopsy findings in abdominal stab wounds.

In cases of traumatic deaths, accurate assessment of injuries is essential for both legal and medical purposes. This case report compares the findings of post-mortem computed tomography with conventional autopsy methods in assessing abdominal stab wounds. A 34-year-old woman with multiple stab wounds in the abdomen underwent post-mortem examination, including computed tomography imaging. Computed tomography revealed specific breaches in the skin's continuity and internal injuries, including perforation of the stomach. A conventional autopsy confirmed the presence of multiple stab wounds and associated injuries to internal structures. However, additional injuries to major blood vessels, such as the abdominal aorta and inferior vena cava, were only detected during manual exploration of the peritoneal cavity. This case highlights the complementary roles of post-mortem computed tomography and conventional autopsy in evaluating traumatic injuries. While computed tomography imaging offers non-invasive visualisation of injuries, manual examination remains essential for identifying certain injuries, particularly those affecting major blood vessels. The integration of computed tomography imaging with traditional autopsy methods enhances the accuracy and reliability of forensic assessments in cases of traumatic deaths, particularly in complex cases involving multiple injuries. Understanding the strengths and limitations of these techniques is crucial for improving forensic investigations and ultimately enhancing medico-legal outcomes.

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来源期刊
Medico-Legal Journal
Medico-Legal Journal Medicine-Medicine (all)
CiteScore
3.00
自引率
0.00%
发文量
63
期刊介绍: The Medico-Legal journal is the official journal of Medico-Legal Society. The Royal Society of Medicine Press is delighted to announce the launch in July 2009 of the Medico-Legal journal, on behalf of the Medico-Legal Society. The Medico-Legal Journal provides an official record of the proceedings of the Medico-Legal Society, and is dedicated to promoting Medico-Legal knowledge in all its aspects. As well as providing a record of activity in the Society, the journal includes a unique collection of contributions and speeches from eminent speakers at society events.
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