Zusammenfassung
Die Befunde einer postmortal durchgeführten Computertomographie bei einem an einer arteriellen Luftembolie verstorbenen Patienten werden vorgestellt. Eine transthorakale Lungenbiopsie unter Beatmung über eine Tracheakanüle war vorausgegangen. Diagnosekriterien sind der Nachweis von Gas in den Arterien, die Hirn und Herz versorgen, sowie die Veränderungen des Gehirns (Parenchym und Liquorräume). Die postmortale Verteilung gibt Hinweise auf mögliche Transportwege der Luft.
Abstract
The visualization of an arterial air embolism in postmortem computed tomography is reported. A transthoracic pulmonary biopsy had been performed under ventilation via a tracheal tube. Criteria for the diagnosis are the detection of gas in the cerebral and coronary arteries and the changes in the brain (parenchyma, ventricles). The pattern of the postmortem distribution of air indicates possible ways of gas transport.
This is a preview of subscription content, log in via an institution to check access.
Literatur
Atalar MH, Oztoprak B, Erdinc P, Ozum U (2007) Diffuse cerebrovascular air embolism on CT secondary to cardiopulmonary resuscitation. Ulus Travma Acil Cerrahi Derg 13:319–321
Hiraki T, Fujiwara H, Sakurai J et al (2007) Nonfatal systemic air embolism complicating percutaneous CT-guided transthoracic needle biopsy: four cases from a single institution. Chest 132:684–690
Jackowski C, Thali M, Sonnenschein M et al (2004) Visualization and quantification of air embolism structure by processing postmortem MSCT data. J Forensic Sci 49:1339–1342
Jin GY, Lee JM, Lee YC, Han YM (2004) Acute cerebral infarction after radiofrequency ablation of an atypical carcinoid pulmonary tumor. Am J Roentgenol 182:990–992
Kau T, Rabitsch E, Celedin S et al (2008) When coughing can cause stroke – a case-based update on cerebral air embolism complicating biopsy of the lung. Cardiovasc Intervent Radiol 31:848–853
Mansour A, Abdel Raouf A, Qandeel M, Swaidan M (2005) Acute coronary artery air embolism following CT-guided lung biopsy. Cardiovasc Intervent Radiol 28:131–134
Messmer JM, Brogdon BG, Vogel H (2003) Conventional weapons. In: Brogdon BG, Vogel H, McDowell JD (eds) A radiologic atlas of abuse, torture, terrorism, and inflicted trauma. CRC, Boca Raton, pp 161–S178
Meyer CA (2007) Transthoracic needle aspiration biopsy of benign and malignant lung lesions – a commentary. Am J Roentgenol 188:891–893
Mokhlesi B, Ansaarie I, Bader M et al (2002) Coronary artery air embolism complicating a CT-guided transthoracic needle biopsy of the lung. Chest 121:993–996
Richardson CM, Pointon KS, Manhire AR, Macfarlane JT (2002) Percutaneous lung biopsies: a survey of UK practice based on 5444 biopsies. Br J Radiol 75:731–735
Rutty GN (2007) Are autopsies necessary? Rechtsmedizin 17:21–28
Thali MJ, Yena K, Vock P et al (2003) Image-guided virtual autopsy findings of gunshot victims performed with multi-slice computed tomography (MSCT) and magnetic resonance imaging (MRI) and subsequent correlation between radiology and autopsy findings. Forensic Sci Int 138:8–16
Thali MJ, Yen K, Plattner TH et al (2002) Charred body: virtual autopsy with multi-slice computed tomography and magnetic resonance imaging. J Forensic Sci 47:1–6
Thali MJ, Ross S, Oesterhelweg L et al (2007) Virtopsy – Working on the future of forensic medicine. Rechtsmedizin 17:7–12
Verhoff MA, Obert M, Harth S et al (2008) Flat panel computer tomography in legal medicine. Rechtsmedizin 18:242–246
Interessenkonflikt
Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Braun, C., Püschel, K. & Vogel, H. Arterielle Luftembolie nach transthorakaler Biopsie. Rechtsmedizin 19, 337–340 (2009). https://doi.org/10.1007/s00194-009-0599-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00194-009-0599-y