A case of thoracic organs migrating into the left upper arm subcutaneously due to a runover

IF 0.8 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Forensic Imaging Pub Date : 2023-09-27 DOI:10.1016/j.fri.2023.200567

Hideyuki Nushida , Asuka Ito , Hiromitsu Kurata , Itsuo Tokunaga , Hitomi Umemoto , Hirofumi Iseki , Akiyoshi Nishimura

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Abstract

A man in his 40s was run over by a wheel loader that was slowly backing up behind him late at night at a construction site. The driver stopped when he saw a man lying on the ground after being hit by the right rear and front wheels. Pre-autopsy postmortem computed tomography (PMCT) revealed that a portion of the left lung extended from the left axilla to the subcutaneous area of the upper arm. An oval mass with a point density of 40–60 Hounsfield units was found in the peripheral lung tissue of the left upper arm. Autopsy findings revealed extensive décollement from the left upper arm to the forearm, with a disconnected heart in the interstitial space and lung tissue straying to the central side.

There are no reports of thoracic organs straying into the upper arm subcutaneously, and when reading forensic PMCT images prior to autopsy, not only crush injury but also organs dislocation should be looked for carefully if the organ is absent.

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一例胸部器官转移到左上臂皮下由于跑步

深夜，一名40多岁的男子在一个建筑工地被一辆慢慢倒在他身后的装载机撞倒。当司机看到一名男子被右后轮和前轮撞击后躺在地上时，他停了下来。尸检前的计算机断层扫描(PMCT)显示左肺的一部分从左腋窝延伸到上臂的皮下区域。左上臂周围肺组织见一卵圆形肿块，点密度40-60霍斯菲尔德单位。尸检结果显示，从左上臂到前臂有广泛的脏器损伤，心脏与心脏间质分离，肺组织分散到中央侧。没有关于胸部器官在皮下转移到上臂的报道，在尸检前阅读法医PMCT图像时，如果器官缺失，不仅要仔细寻找挤压伤，还要仔细寻找器官脱位。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Forensic Imaging RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

2.20

自引率

27.30%

发文量