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 (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), pp. 256-259. Elsevier 10.1016/j.legalmed.2013.03.001

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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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology

UniBE Contributor:

Ruder, Thomas

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1344-6223

Publisher:

Elsevier

Language:

English

Submitter:

Aisha Stefania Mzinga

Date Deposited:

13 May 2014 10:02

Last Modified:

13 May 2014 10:02

Publisher DOI:

10.1016/j.legalmed.2013.03.001

PubMed ID:

23602209

Uncontrolled Keywords:

Aortic dissection, Forensic radiology, Post-mortem CT, Post-mortem CT-angiography Post-mortem MR ,Ruptured aortic aneurysm, Virtopsy

URI:

https://boris.unibe.ch/id/eprint/52410

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