Traumatic thrombosis of internal carotid artery sustained by transfer of kinetic energy.
Am J Forensic Med Pathol
; 33(2): 179-80, 2012 Jun.
Article
em En
| MEDLINE
| ID: mdl-22543522
ABSTRACT
A 31-year-old male patient with a fatal thrombosis of the internal carotid artery caused by gun shot injury was presented in this case report. The patient was referred to the hospital with a diffuse edema on his left cheek. On otolaryngologic examination, there was a bullet entrance hole at the left mandibular corpus. No exit hole could be found. The finding from his axial computed tomography of neck and paranasal sinuses was normal. On neurological examination, a dense right hemiparesis was observed. In his cerebral angiogram, left common carotid artery was totally obliterated. Diffuse ischemia was observed in the left cerebral hemisphere. Despite intensive interventions, the patient died 4 days after the accident. In the autopsy, a large thrombosis was obtained in the left common carotid artery. This case emphasizes a fatal kinetic energy effect in vascular structures. It is stressed that a gun shot injury could be fatal with its indirect kinetic energy effects at subacute phase.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ferimentos por Arma de Fogo
/
Artéria Carótida Interna
/
Trombose das Artérias Carótidas
/
Transferência de Energia
Tipo de estudo:
Etiology_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Am J Forensic Med Pathol
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Turquia