1.Diagnosis of intestinal perforation on postmortem imaging
Wenju JIN ; Zhiyuan XIA ; Haibin SHEN ; Yalei YU ; Beibei LIU ; Jiayuan GU ; Zhiji HE ; Yu ZHANG ; Sijie LIU ; Xilian DING ; Yuqiang ZHANG ; Qun GONG ; Guanglong HE
Chinese Journal of Forensic Medicine 2023;38(6):660-663
Objective To study the value of postmortem imaging on the diagnosis of intestinal perforation.Method Postmortem imaging(PMCT and PMCTA)data of 2 intestinal perforation deaths(and 4 controlled cases)were reviewed retrospectively.Diagnosing capacities of intestinal perforation by postmortem imaging method were further investigated.Results PMCT is sensitive in detecting the free air and liquid induced by intestinal perforation.PMCT can sometimes detect the gravity-dependent purulent secretions in the abdominopelvic cavity.PMCTA can visualize the extravasation of contrast agent from the perforation,which can be used to locate the accurate perforation region.Conclusion Postmortem imaging method(PMCT and PMCTA)is an important tool for the diagnosis of intestinal perforation,which can not only be used as a forensic diagnosis method,but is also useful to locate the perforation site before an forensic autopsy.
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