Child abuse suspected with postmortem CT imaging and revealed by following legal autopsy

Autor:	Masaya Sugimoto, Kazutomo Goh, Akihiro Suzuki, Satoshi Fujita, Naohiro Kokita, Hiroshi Shiono, Keiko Shimizu
Rok vydání:	2010
Předmět:	Child abuse medicine.medical_specialty business.industry medicine.medical_treatment Pericardial fluid Poison control Autopsy medicine.disease Surgery Injury prevention medicine Cardiopulmonary resuscitation Pancreatic injury Asystole business
Zdroj:	Nihon Kyukyu Igakukai Zasshi. 21:29-34
ISSN:	1883-3772 0915-924X
DOI:	10.3893/jjaam.21.29
Popis:	We report a case of child abuse suspected by postmortem computed tomography (PMCT) and revealed by following legal autopsy. A 2-year-old boy with cardiopulmonary arrest was transferred to our hospital. Mother asserted that he bumped his occipital head against the wall and then fainted. The initial hospital electrocardiogram showed asystole. The cause of injury explained by her mother seemed minor, however, cardiac rhythm remained asystole even after 30 minutes of standard cardiopulmonary resuscitation. Although the external investigation of his body indicated no obvious trauma, echocardiogram showed the pericardial fluid collection, which is inexplicable for his mechanism of injury. PMCT was performed and it showed abnormalities in his heart, liver, and spleen. As a consequence of these CT findings, police decided to order a legal autopsy. The autopsy further revealed that he died of bleeding due to pancreatic injury. It also revealed many old subcutaneous hematomas which suggested that the child had suffered from regular abuse. In this case, PMCT was useful as a screening tool which led to legal autopsy.
Databáze:	OpenAIRE
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