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To see or not to see - Ambiguous findings on post-mortem cross-sectional imaging in a case of ruptured abdominal aortic aneurysm


Kluschke, Franziska; Ross, Steffen; Flach, Patricia M; Schweitzer, Wolf; Ampanozi, Garyfalia; Gascho, Dominic; Vonlanthen, Bruno; Thali, Michael J; Ruder, Thomas D (2013). To see or not to see - Ambiguous findings on post-mortem cross-sectional imaging in a case of ruptured abdominal aortic aneurysm. Legal Medicine, 15(5):256-259.

Abstract

We present a case of a ruptured abdominal aortic aneurysm (AAA) with ambiguous accessory findings on post-mortem computed-tomography (PMCT), post-mortem magnetic resonance (PMMR) imaging, and PMCT-angiography (PMCTA) suggestive of thoracic aortic dissection. The diagnosis of ruptured AAA was confirmed by autopsy; however, there was no aortic dissection. The imaging findings that mimicked the presence of aortic dissection might have been an atypical presentation of post-mortem clotting or sedimentation. This case is an ideal example to illustrate benefits, limitations, and challenges of post-mortem cross-sectional imaging. It serves as a reminder that both, training as well as correlation of imaging findings with autopsy are fundamental to improve our understanding of radiologic findings on post-mortem cross-sectional imaging. © 2013 Elsevier Ireland Ltd.

Abstract

We present a case of a ruptured abdominal aortic aneurysm (AAA) with ambiguous accessory findings on post-mortem computed-tomography (PMCT), post-mortem magnetic resonance (PMMR) imaging, and PMCT-angiography (PMCTA) suggestive of thoracic aortic dissection. The diagnosis of ruptured AAA was confirmed by autopsy; however, there was no aortic dissection. The imaging findings that mimicked the presence of aortic dissection might have been an atypical presentation of post-mortem clotting or sedimentation. This case is an ideal example to illustrate benefits, limitations, and challenges of post-mortem cross-sectional imaging. It serves as a reminder that both, training as well as correlation of imaging findings with autopsy are fundamental to improve our understanding of radiologic findings on post-mortem cross-sectional imaging. © 2013 Elsevier Ireland Ltd.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Diagnostic and Interventional Radiology
04 Faculty of Medicine > Institute of Legal Medicine
Dewey Decimal Classification:340 Law
610 Medicine & health
Uncontrolled Keywords:imagopaque 300; iopentol; unclassified drug, abdominal aorta aneurysm; abdominal bleeding; aged; aneurysm rupture; aorta dissection; article; autopsy; case report; computed tomographic angiography; computer assisted tomography; cross-sectional study; histopathology; human; male; nuclear magnetic resonance
Language:English
Date:2013
Deposited On:24 Oct 2013 07:27
Last Modified:05 Apr 2016 17:03
Publisher:Elsevier
ISSN:1344-6223
Publisher DOI:https://doi.org/10.1016/j.legalmed.2013.03.001
PubMed ID:23602209

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