关键词: decomposition gas hanging intracochlear gas postmortem CT radiology

来  源:   DOI:10.3389/fsurg.2024.1365535   PDF(Pubmed)

Abstract:
UNASSIGNED: Postmortem computed tomography (pmCT) prior to forensic autopsy has become increasingly important in recent decades, especially in forensic documentation of single injuries, injury patterns, and causes of death. Postmortem decomposition gas formation can also be detected in pmCT scans, which might affect cochlear implant research in postmortem human temporal bones (TBs).
UNASSIGNED: Fifty non-putrefied hanging fatalities within a 2-year period (January 2017 to December 2019) were included with 100 TBs. Each body underwent whole-body pmCT prior to forensic autopsy. PmCT scans were analyzed with respect to the presence of intracochlear gas despite the lack of putrefaction at autopsy by an experienced fellow neurotologist.
UNASSIGNED: PmCT revealed gas formation in two individuals despite the lack of head trauma and putrefaction at postmortem examination and autopsy. Both individuals showed enclosed gas in the vestibule and the cochlea on both sides.
UNASSIGNED: Intracochlear gas formation, most likely related to decomposition, may occur despite the lack of putrefaction at postmortem examination and autopsy and can be detected by pmCT. This finding seems to be rather rare in non-traumatic death cases but might affect cochlear pressure research in postmortem human TB.
摘要:
近几十年来,法医尸检前的死后计算机断层扫描(pmCT)变得越来越重要,尤其是在单一伤害的法医文件中,损伤模式,和死亡原因。在pmCT扫描中也可以检测到死后分解气体的形成,这可能会影响人类颞骨(TBs)死后人工耳蜗的研究。
在2年内(2017年1月至2019年12月)有50名非腐烂的绞刑死亡包括100TB。在法医尸检之前,每个尸体都接受了全身pmCT。尽管经验丰富的神经学家在尸检中缺乏腐败,但仍对PmCT扫描进行了分析,以了解耳蜗内气体的存在。
PmCT显示,尽管在验尸和尸检中没有头部外伤和腐败,但两个个体仍形成了气体。两个人的前庭和两侧的耳蜗都显示出封闭的气体。
耳蜗内气体形成,最有可能与分解有关,尽管在验尸和尸检中缺乏腐败,但仍可能发生,并且可以通过pmCT检测到。这一发现在非创伤性死亡病例中似乎相当罕见,但可能会影响死后人类结核病的耳蜗压力研究。
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