Double rarity: an unusual case of bromoform poisoning detected by post-mortem radiography.

Bromoform ingestion and toxicity is a rare finding. Historically, bromoform was therapeutically prescribed as a sedative in whooping cough, and accidental overdoses occurred mainly in children. Bromoform is used in various industries. In the twenty-first century, bromoform ingestion can occur in the form of chlorinated water such as in pools and drinking water. We present a case report where the initial history and circumstances of death were unknown. A pre-autopsy full-body X-ray image using the Lodox® Xmplar-dr scanner revealed a dense radiopaque material in the stomach and intestines. This radiological finding proved vital in the approach and subsequent follow-up of the case.

Lodox®: the invaluable radiographic solution in the forensic setting.

The benefits of a comparatively inexpensive radiographic system such as the Lodox® scanner in forensic facilities where CT-imaging and radiologist support is not financially viable will be explored. Prodigious caseloads in many under-resourced mortuaries preclude the use of advanced radiological modalities. The aim of this research is to examine the utilization of the Lodox® scanner in one of the busiest mortuaries in South Africa in relation to the nature of the cases scanned and, furthermore, to provide case studies where this imaging modality proved vital in the examination of the deceased and in the approach to the autopsy. The research is a retrospective epidemiological review on the use of the Lodox® scanner at the Salt River Medico-legal Laboratory, Cape Town, South Africa, from 1 January 2017 to 31 December 2017. A total of 3885 cases was admitted to the mortuary; the majority was scanned. A large proportion of cases were male. Ages ranged from foetuses to the elderly. The manner of death in more than a third of the cases was homicide which mainly involved firearm fatalities. This was followed by natural deaths. Pertinent case studies are presented to demonstrate that the use of the Lodox® scanner as an adjunct (or even obviating autopsy) proves to save time and labour and is financially beneficial. In conclusion, the Lodox® scanner is an indispensable tool in mortuaries with heavy caseloads because its use improves quality assurance, saves time, and is cost effective in the examination of both natural and unnatural deaths.

Homicide-suicide (dyadic death): a case study of double hanging.

Murder-suicide, homicide-suicide, and dyadic death all refer to an incident where a homicide is committed followed by the perpetrator's suicide almost immediately or soon after the homicide. Homicide-suicides are relatively uncommon and vary from region to region. In the selected literature that we reviewed, shooting was the common method of killing and suicide, and only 3 cases of homicidal hanging involving child victims were identified. We present a case of dyadic death where the method of killing and suicide was hanging, and the victim was a young woman.

Venous air embolism: An under-recognised entity in blunt-force trauma and the importance of radiology.

Air embolism (AE) is considered a rare event and can be either iatrogenic or traumatic. Various post-mortem methods to detect AE exist, of which radiology is preferred. The presence of air in the heart can be demonstrated using special dissection techniques where the heart is opened under water or by needle puncture from a water-filled syringe. Three cases of blunt-force head injury are presented herein, with AE being diagnosed by conventional radiography using a Lodox Statscan® full-body digital X-ray machine in all cases. This case series demonstrates that AE due to blunt-force trauma to the head and sinuses might be under-recognised in the forensic post-mortem setting. It also highlights the importance of radiology in diagnosing AE post-mortem, especially where the results of post-mortem techniques might be unsatisfactory.

Ethanol-related death in Ga-Rankuwa road-users, South Africa: A five-year analysis.

Ethanol and road traffic fatalities are a public health concern. The purpose of this study was to examine blood alcohol concentrations in different road-users in the jurisdiction of Ga-Rankuwa, South Africa according to epidemiological variables. A retrospective descriptive study involving 672 road-users over 5 years was done. Drivers presented the largest proportion of victims with positive blood alcohol concentrations, followed by pedestrians and motorcyclists with a great proportion of road-users showing levels above 0.05 g/100 ml. The majority of victims were adult males. Among the female victims, drivers and pedestrians had relatively high blood alcohol concentrations. The majority of fatalities occurred at night, during weekends, and in the spring with August being the month with the most fatalities. The most common injuries were external injuries and injury to the head and chest. Cause of death, irrespective of blood alcohol concentrations, was multiple injuries. The results showed that ethanol was associated with road traffic fatalities in Ga-Rankuwa.