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Pneumomediastinum and Soft Tissue Emphysema in Pediatric Hanging

NCJ Number
246625
Journal
Journal of Forensic Sciences Volume: 59 Issue: 2 Dated: March 2014 Pages: 559-563
Author(s)
Anne S. Strik; Nick F. J. Hilgersom; Vidija Soerdjbalie-Maikoe Ph.D.; Rick R. van Rijn Ph.D.
Date Published
March 2014
Length
5 pages
Annotation
Postmortem computed tomography CT is increasingly being used as a tool in forensic pathology.
Abstract
Postmortem computed tomography CT is increasingly being used as a tool in forensic pathology. The exact value of postmortem imaging in detecting specific conditions has not yet been established, but in specific cases, it can be used as a diagnostic tool demonstrating findings that remain undetected during autopsy, as in this case. Pneumomediastinum and soft tissue emphysema were detected with postmortem CT in a 3-year-old girl after hanging. It was not found during autopsy. This radiological finding matches 3 adult cases previously described. It is assumed that in this case, the first reported in a child, hanging was the most likely cause as well. In the adult cases, it was interpreted as a vital sign; the person must have been alive to create a pressure gradient causing rupture of the alveoli. This case demonstrates one of the added values of postmortem imaging, the possibility of demonstrating findings that remain undetected during autopsy. Abstract published by arrangement with Wiley.