| DOKOUPIL, Marek, Klára MARECOVA, Matěj UVÍRA, Marek JOUKAL, Eva MRÁZKOVÁ, Jana CHMELOVÁ and Petr HANDLOS. Fatal delayed hemopericardium and hemothorax following blunt chest trauma. Forensic Science, Medicine, and Pathology. New Jersey: Humana Press, 2019, vol. 15, No 2, p. 272-275. ISSN 1547-769X. Available from: https://dx.doi.org/10.1007/s12024-018-0069-5. |
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@article{1574657,
author = {Dokoupil, Marek and Marecova, Klára and Uvíra, Matěj and Joukal, Marek and Mrázková, Eva and Chmelová, Jana and Handlos, Petr},
article_location = {New Jersey},
article_number = {2},
doi = {http://dx.doi.org/10.1007/s12024-018-0069-5},
keywords = {Cardiac injury; Delayed hemopericardium; Delayed hemothorax; Blunt trauma; Stab wound},
language = {eng},
issn = {1547-769X},
journal = {Forensic Science, Medicine, and Pathology},
title = {Fatal delayed hemopericardium and hemothorax following blunt chest trauma},
url = {http://dx.doi.org/10.1007/s12024-018-0069-5},
volume = {15},
year = {2019}
}
TY - JOUR
ID - 1574657
AU - Dokoupil, Marek - Marecova, Klára - Uvíra, Matěj - Joukal, Marek - Mrázková, Eva - Chmelová, Jana - Handlos, Petr
PY - 2019
TI - Fatal delayed hemopericardium and hemothorax following blunt chest trauma
JF - Forensic Science, Medicine, and Pathology
VL - 15
IS - 2
SP - 272-275
EP - 272-275
PB - Humana Press
SN - 1547769X
KW - Cardiac injury
KW - Delayed hemopericardium
KW - Delayed hemothorax
KW - Blunt trauma
KW - Stab wound
UR - http://dx.doi.org/10.1007/s12024-018-0069-5
L2 - http://dx.doi.org/10.1007/s12024-018-0069-5
N2 - Cardiac injury following blunt chest trauma is common in motor vehicle accidents due to a crush or blast injury. Severe cardiac trauma is associated with a very high mortality. If a cardiac injury develops several weeks after non-penetrating chest trauma, establishing a causal link between the traumatic event and the cardiac injury becomes complicated. This article reports a case of fatal delayed hemopericardium and hemothorax following a motor vehicle accident including blunt chest trauma 34 days prior to death. The cardiac injury was caused by displacement of a sharp irregular fragment of one of the decedents fractured ribs and the primary defect was sealed by blood clots. Subsequent bleeding occurred when the thrombus was displaced. Since the incidence of blunt high-energy chest injuries is relatively high, heart and large vessel injuries must be taken into account and a comprehensive examination needs to be done in order to prevent the delayed development of fatal complications.
ER -
DOKOUPIL, Marek, Klára MARECOVA, Matěj UVÍRA, Marek JOUKAL, Eva MRÁZKOVÁ, Jana CHMELOVÁ and Petr HANDLOS. Fatal delayed hemopericardium and hemothorax following blunt chest trauma. \textit{Forensic Science, Medicine, and Pathology}. New Jersey: Humana Press, 2019, vol.~15, No~2, p.~272-275. ISSN~1547-769X. Available from: https://dx.doi.org/10.1007/s12024-018-0069-5.
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