Flaring up the mesentery: Applying the LODOX eXero-DR® statscan for expedited postmortem angiography.

Abstract

Rationale

The affordable LODOX eXero-DR® statscan aids Forensic Pathologists in resource-constrained settings. Post-mortem angiography using LODOX eXero-DR® assists in detecting vascular pathology, therefore enhancing routine autopsies.

Objective

Demonstrating the feasibility of performing postmortem angiography using the LODOX eXero-DR® statscan.

Methods

We present a case of a 63-year-old male with follicular lymphoma who experienced small bowel perforation 11 days after a mesenteric lymph node biopsy.

Results

A post-mortem examination confirmed lymphadenopathy and bowel perforation, prompting an investigation into the underlying cause. During the post-mortem, the mesentery was excised, exposing the Superior Mesenteric Artery origin. Contrast medium was injected into the artery using a Foley catheter in 5 ml increments, followed by LODOX eXero-DR® imaging. This process was repeated five times, pinpointing the vascular obstruction site. Angiography with LODOX eXero-DR® yielded vital information, aiding pathology identification and record creation.

Conclusion

This case demonstrates the potential of angiography with emerging technologies, assisting countries lacking access to PMCT angiography. Notably, this represents the inaugural documentation of LODOX eXero-DR® statscan use in post-mortem angiography.