eISSN: 1689-1716
ISSN: 0324-8267
Archiwum Medycyny Sądowej i Kryminologii/Archives of Forensic Medicine and Criminology
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1-2/2019
vol. 69
 
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abstract:
Original paper

Analysis of cases of traumatic pneumothorax – conclusions based on post-mortem CT examinations for routine autopsy diagnostics

Oleksiy Lopatin
1
,
Artur Moskała
1
,
Krzysztof Woźniak
1
,
Filip Bolechała
1

  1. Katedra i Zakład Medycyny Sądowej, Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków, Polska/Chair and Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland
Arch Med Sadowej Kryminol 2019; 69 (1–2): 56–69
DOI: https://doi.org/10.5114/amsik.2019.89236
Online publish date: 2019/09/28
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The analysis comprised a total of 450 cases covering the period 2017–2018, in which death was a result of traffic accident, fall from a height, and crushing. Post-mortem examinations carried out at the Department of Forensic Medicine in Krakow consisted of conventional autopsy and post-mortem computed tomography (PMCT). The aims of the study were to evaluate the prevalence of pneumothorax in the study group, and attempt to identify a correlation between pneumothorax and the presence of specific types of thoracic injuries and the circumstances of trauma. Based on the PMCT data, pneumothorax was detected in 43% of cases in the study group. An important finding was the presence of tension pneumothorax with lung collapse and mediastinal shift in 16% of cadavers in the study group. The main injuries accompanying pneumothorax were found to be fractures of the rib cage (ribs, sternum, spine) and lung injuries. In 20% of cases, pneumothorax was shown to coexist with subcutaneous emphysema. In 11% of cases, marked asymmetry of the chest was noted. The circumstances of trauma resulting in the accumulation of air in the pleural cavities included primarily falls from a height and hits by a vehicle.
keywords:

forensic autopsy, post-mortem computed tomography, PMCT, trauma, pneumothorax
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