Virtopsy-postmortem multislice computed tomography (MSCT) and magnetic resonance imaging (MRI) in a fatal scuba diving incident.
The body of a 44-year-old scuba diver was examined using postmortem multislice computed tomography (MSCT) and magnetic resonance imaging (MRI), and findings were verified by subsequent autopsy. The goal was to find out whether the important pathomorphological findings for the reconstruction of events and the identification of cause and manner of death could be identified using modem digital cross-sectioning techniques. The findings of a massive vital decompression with pulmonary barotrauma and lethal gas embolism were identified in the radiological images. MSCT and MRI were superior to autopsy in the demonstration of the extent and distribution of gas accumulation in intraparenchymal blood vessels of internal organs as well as in areas of the body inaccessible by standard autopsy.
Plattner
Thomas
T
Institute of Forensic Medicine, University of Berne, Switzerland. plattner@irm.unibe.ch
Thali
Michael J
MJ
Yen
Kathrin
K
Sonnenschein
Martin
M
Stoupis
Christoforos
C
Vock
Peter
P
Zwygart-Brügger
Karin
K
Kilchör
Thomas
T
Dirnhofer
Richard
R
D000005:Abdomen / Q000473:pathology; D000328:Adult; D001344:Autopsy / Q000379:methods*; D001469:Barotrauma / Q000175:diagnosis; D001921:Brain / Q000473:pathology; D003665:Decompression Sickness / Q000175:diagnosis; D004242:Diving / Q000293:injuries*; D005554:Forensic Medicine / Q000379:methods; D006801:Humans; D008168:Lung / Q000473:pathology; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D009206:Myocardium / Q000473:pathology; D014057:Tomography, X-Ray Computed / Q000379:methods*