Your browser doesn't support javascript.
loading
Postmortem computed tomographic features in the diagnosis of drowning: a comparison of fresh water and salt water drowning cases.
Sugawara, Makoto; Ishiyama, Koichi; Takahashi, Satoshi; Otani, Takahiro; Koga, Makoto; Watanabe, Osamu; Matsuda, Masazumi; Asano, Tomoyuki; Takagi, Noriko; Tozawa, Tomoki; Wada, Yuki; Otaka, Aoi; Kumagai, Satoshi; Sasajima, Motoko; Hashimoto, Manabu.
Afiliação
  • Sugawara M; Division of Diagnostic Radiology, Akita University Hospital, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan. masugawa@doc.med.akita-u.ac.jp.
  • Ishiyama K; Division of Diagnostic Radiology, Akita University Hospital, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
  • Takahashi S; Division of Diagnostic Radiology, Akita University Hospital, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
  • Otani T; Division of Diagnostic Radiology, Akita University Hospital, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
  • Koga M; Division of Diagnostic Radiology, Akita University Hospital, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
  • Watanabe O; Division of Diagnostic Radiology, Akita University Hospital, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
  • Matsuda M; Division of Diagnostic Radiology, Akita University Hospital, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
  • Asano T; Division of Diagnostic Radiology, Akita University Hospital, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
  • Takagi N; Division of Diagnostic Radiology, Akita University Hospital, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
  • Tozawa T; Division of Diagnostic Radiology, Akita University Hospital, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
  • Wada Y; Division of Diagnostic Radiology, Akita University Hospital, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
  • Otaka A; Division of Diagnostic Radiology, Akita University Hospital, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
  • Kumagai S; Division of Diagnostic Radiology, Akita University Hospital, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
  • Sasajima M; Division of Diagnostic Radiology, Akita University Hospital, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
  • Hashimoto M; Division of Diagnostic Radiology, Akita University Hospital, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
Jpn J Radiol ; 37(3): 220-229, 2019 Mar.
Article em En | MEDLINE | ID: mdl-30600482
ABSTRACT

PURPOSE:

To investigate the effectiveness of postmortem computed tomography in the diagnosis of drowning, focusing on the comparison of fresh water and salt water cases using three-dimensionally (3D) reconstructed data. MATERIALS AND

METHODS:

We examined features of drowning in 25 fresh water drowning cases (FWDCs; 13 men, 12 women; mean age 73.1 years; range 43-95 years), and compared these with 12 salt water drowning cases (SWDCs; 5 men, 7 women; mean age 66.0 years; range 55-77 years). Pulmonary opacities, volume and density (CT number) of accumulated fluid in the paranasal sinuses and central airways, volume of the stomach/stomach contents, and cardiac blood density were examined.

RESULTS:

In SWDCs, pulmonary ground-glass opacities with wholly thickened interstitium was frequently identified (P = 0.0274). Whereas in FWDCs, a significantly larger volume and lower density of fluid in the paranasal sinuses (P = 0.0195 and P = 0.0104, respectively), lower density of fluid in the central airways (P = 0.0077), lower stomach content density (P = 0.0216), lower density in the left atrium (P = 0.0029), and a difference of density between the atria (P = 0.0247) were observed.

CONCLUSIONS:

A lower density in the left atrium was observed in FWDCs compared to SWDCs. This finding may be helpful in differentiating between FWDCs and SWDCs.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Água do Mar / Tomografia Computadorizada por Raios X / Imageamento Tridimensional / Afogamento / Água Doce Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Água do Mar / Tomografia Computadorizada por Raios X / Imageamento Tridimensional / Afogamento / Água Doce Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2019 Tipo de documento: Article