title: Missed opportunities for diagnosis of post-traumatic thrombosis: a case series and literature review.
abstract: Thrombosis is caused by abnormalities in the composition of the blood, the quality of the vessel wall, and the nature of the blood flow. Herein, we present four cases of fatal thrombus formation after a trauma, which were missed at clinical diagnosis as the symptoms were misinterpreted. We stress that a blunt trauma can be fatal because of its direct and indirect kinetic energy effects at the subacute phase. This report highlights the importance of considering thrombosis in the diagnosis of closed trauma, which is usually missed because of lack of awareness for early diagnosis and treatment or is detected too late for any therapeutic intervention, which can result in avoidable morbidity and mortality.
authors.affiliation: Department of Pathology Lab, Fars Legal Medicine Research Center, Tehran, Iran.
authors.forename: Marzieh
authors.initials: M
authors.lastname: Hosseini
authors.forename: Arya
authors.initials: A
authors.lastname: Hedjazi
authors.forename: Mohammadreza
authors.initials: M
authors.lastname: Bahrani
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D020226:Cavernous Sinus Thrombosis / Q000175:diagnosis* / Q000209:etiology; D054059:Coronary Occlusion / Q000209:etiology / Q000473:pathology; D003328:Coronary Thrombosis / Q000175:diagnosis* / Q000209:etiology; D003951:Diagnostic Errors; D049429:Forensic Pathology; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000473:pathology*; D008641:Mesenteric Vascular Occlusion / Q000209:etiology / Q000473:pathology; D008875:Middle Aged; D000066550:Physical Abuse; D013927:Thrombosis / Q000175:diagnosis* / Q000209:etiology; D014949:Wounds, Nonpenetrating / Q000150:complications*; D055815:Young Adult
keywords: cavernous sinus; coronary artery; forensic pathology; forensic science; mesenteric artery; thrombus; trauma