Gas at postmortem computed tomography--an evaluation of 73 non-putrefied trauma and non-trauma cases.
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| Title: | Gas at postmortem computed tomography--an evaluation of 73 non-putrefied trauma and non-trauma cases. |
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| Authors: | Gebhart FT (AUTHOR), Brogdon BG (AUTHOR), Zech WD (AUTHOR), Thali MJ (AUTHOR), Germerott T (AUTHOR), Gebhart, Florin T F1 (AUTHOR), Brogdon, B G (AUTHOR), Zech, Wolf-Dieter (AUTHOR), Thali, Michael J (AUTHOR), Germerott, Tanja (AUTHOR) |
| Source: | Forensic Science International. Oct2012, Vol. 222 Issue 1-3, p162-169. 8p. |
| Abstract: | Postmortem computed tomography (PMCT) has become an important complement in investigating forensic cases allowing an accurate detection of gas accumulations. The present study investigated the presence and distribution of gas in a large number of non-putrefied cases of traumatic and non-traumatic deaths. Furthermore the possibility of pneumobilia secondary to blunt abdominal trauma was studied. Retrospectively, 73 cases, underwent a whole-body PMCT prior to autopsy. These were divided into four groups: penetrating trauma (20 gunshot cases, 13 stabbing cases), blunt abdominal trauma (20 cases) and a control group of 20 non-trauma cases. Exclusion criteria were visible signs of decomposition. Each group was screened for gas accumulations in the vascular system, internal organs, soft tissues and body cavities. Gas accumulations were present in 98% of the trauma cases, compared to 80% of the control group. The most affected structures and/or organs in the trauma group were soft tissues, vessels and the liver. In most cases of the trauma group gas was associated with open injuries and lacerations of vessels. Furthermore, in the gunshot group gas was frequently seen in the intracranial cavity. Pneumobilia occurred in one case of the blunt trauma group; in that control group gas was also seen, but less frequently. Gas accumulation showed a strong association with traumatic events, but even the majority of non-trauma cases showed gas accumulations. Despite the exclusion of cases with visible decomposition signs, a putrefactive origin of gas was assumed in some cases. Gas accumulations are a frequent finding in PMCT with a higher incidence in (open) trauma cases. Even though a differentiation between putrefactive and traumatic gas accumulations is still difficult, knowledge of the circumstance surrounding the case may help identify the origin of gas. [ABSTRACT FROM AUTHOR] |
| Copyright of Forensic Science International is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| URL: | 79561267 |
| Database: | Engineering Source |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: egs DbLabel: Engineering Source An: 104391738 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Gas at postmortem computed tomography--an evaluation of 73 non-putrefied trauma and non-trauma cases. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Gebhart+FT%22">Gebhart FT</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brogdon+BG%22">Brogdon BG</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zech+WD%22">Zech WD</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thali+MJ%22">Thali MJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Germerott+T%22">Germerott T</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gebhart%2C+Florin+T+F%22">Gebhart, Florin T F</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brogdon%2C+B+G%22">Brogdon, B G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zech%2C+Wolf-Dieter%22">Zech, Wolf-Dieter</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thali%2C+Michael+J%22">Thali, Michael J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Germerott%2C+Tanja%22">Germerott, Tanja</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Forensic+Science+International%22">Forensic Science International</searchLink>. Oct2012, Vol. 222 Issue 1-3, p162-169. 8p. – Name: Abstract Label: Abstract Group: Ab Data: Postmortem computed tomography (PMCT) has become an important complement in investigating forensic cases allowing an accurate detection of gas accumulations. The present study investigated the presence and distribution of gas in a large number of non-putrefied cases of traumatic and non-traumatic deaths. Furthermore the possibility of pneumobilia secondary to blunt abdominal trauma was studied. Retrospectively, 73 cases, underwent a whole-body PMCT prior to autopsy. These were divided into four groups: penetrating trauma (20 gunshot cases, 13 stabbing cases), blunt abdominal trauma (20 cases) and a control group of 20 non-trauma cases. Exclusion criteria were visible signs of decomposition. Each group was screened for gas accumulations in the vascular system, internal organs, soft tissues and body cavities. Gas accumulations were present in 98% of the trauma cases, compared to 80% of the control group. The most affected structures and/or organs in the trauma group were soft tissues, vessels and the liver. In most cases of the trauma group gas was associated with open injuries and lacerations of vessels. Furthermore, in the gunshot group gas was frequently seen in the intracranial cavity. Pneumobilia occurred in one case of the blunt trauma group; in that control group gas was also seen, but less frequently. Gas accumulation showed a strong association with traumatic events, but even the majority of non-trauma cases showed gas accumulations. Despite the exclusion of cases with visible decomposition signs, a putrefactive origin of gas was assumed in some cases. Gas accumulations are a frequent finding in PMCT with a higher incidence in (open) trauma cases. Even though a differentiation between putrefactive and traumatic gas accumulations is still difficult, knowledge of the circumstance surrounding the case may help identify the origin of gas. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Forensic Science International is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) – Name: URL Label: URL Group: URL Data: <link linkTarget="URL" linkTerm="79561267" linkWindow="_blank">79561267</link> |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1016/j.forsciint.2012.05.020 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 8 StartPage: 162 Titles: – TitleFull: Gas at postmortem computed tomography--an evaluation of 73 non-putrefied trauma and non-trauma cases. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Gebhart FT – PersonEntity: Name: NameFull: Brogdon BG – PersonEntity: Name: NameFull: Zech WD – PersonEntity: Name: NameFull: Thali MJ – PersonEntity: Name: NameFull: Germerott T – PersonEntity: Name: NameFull: Gebhart, Florin T F – PersonEntity: Name: NameFull: Brogdon, B G – PersonEntity: Name: NameFull: Zech, Wolf-Dieter – PersonEntity: Name: NameFull: Thali, Michael J – PersonEntity: Name: NameFull: Germerott, Tanja IsPartOfRelationships: – BibEntity: Dates: – D: 10 M: 10 Text: Oct2012 Type: published Y: 2012 Identifiers: – Type: issn-print Value: 03790738 Numbering: – Type: volume Value: 222 – Type: issue Value: 1-3 Titles: – TitleFull: Forensic Science International Type: main |
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