Maged Nabil Hussein1, Axel Heinemann2, Dina Ali Shokry3, Mohamed Elgebely4, Klaus Pueschel2, Fatma Mohamed Hassan3. 1. Forensic Medicine Authority, Ministry of Justice, 14 Berium Eltonsy Street, Elsayda Zainb, Cairo, Egypt. Magednabil_1@hotmail.com. 2. Department of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg University, Butenfeld 34, 22529, Hamburg, Germany. 3. Forensic Medicine & Clinical Toxicology Department, Faculty of Medicine, Cairo University, kasr Alainy Street, Cairo, 11562, Egypt. 4. Lecturer of Forensic Medicine & Clinical Toxicology Department, Faculty of Medicine, Suez University, Cairo-suez road, 41522, Al-salam city, Egypt.
Abstract
PURPOSE: The aim of this study is to investigate the ability of postmortem computed tomography (PMCT) to distinguish intraperitoneal decomposition gas from pneumoperitoneum due to intestinal perforation. METHODS: This retrospective study investigated the factors affecting intraperitoneal gas in two groups of 14 decedents as detected by postmortem CT performed in the Department of Legal Medicine of Hamburg University. The first group died with a cause of death associated with intestinal perforation, and the second group with other different natural causes of death. These factors include postmortem interval, gas volume, gas distribution, radiology alteration index (RAI), and pneumoperitoneum-associated pathology. RESULTS: The findings of this study showed the appearance of specific gas distribution patterns and a significant increase in gas volumes in the cases of intestinal perforation. Moreover, postmortem interval and the pneumoperitoneum-associated pathology could help distinguish postmortem-generated gas from pneumoperitoneum. CONCLUSION: Based on the findings of this study, we propose that these findings can improve the proper detection of intestinal perforation cases in the future.
PURPOSE: The aim of this study is to investigate the ability of postmortem computed tomography (PMCT) to distinguish intraperitoneal decomposition gas from pneumoperitoneum due to intestinal perforation. METHODS: This retrospective study investigated the factors affecting intraperitoneal gas in two groups of 14 decedents as detected by postmortem CT performed in the Department of Legal Medicine of Hamburg University. The first group died with a cause of death associated with intestinal perforation, and the second group with other different natural causes of death. These factors include postmortem interval, gas volume, gas distribution, radiology alteration index (RAI), and pneumoperitoneum-associated pathology. RESULTS: The findings of this study showed the appearance of specific gas distribution patterns and a significant increase in gas volumes in the cases of intestinal perforation. Moreover, postmortem interval and the pneumoperitoneum-associated pathology could help distinguish postmortem-generated gas from pneumoperitoneum. CONCLUSION: Based on the findings of this study, we propose that these findings can improve the proper detection of intestinal perforation cases in the future.
Authors: Christian Jackowski; Michael Thali; Martin Sonnenschein; Emin Aghayev; Kathrin Yen; Richard Dirnhofer; Peter Vock Journal: J Forensic Sci Date: 2004-11 Impact factor: 1.832
Authors: Giuseppe Femia; Neil Langlois; Jim Raleigh; Belinda Gray; Farrah Othman; Sunthara Rajan Perumal; Christopher Semsarian; Rajesh Puranik Journal: Forensic Sci Med Pathol Date: 2021-01-19 Impact factor: 2.007