J 2019

Fatal delayed hemopericardium and hemothorax following blunt chest trauma

DOKOUPIL, Marek, Klára MARECOVA, Matěj UVÍRA, Marek JOUKAL, Eva MRÁZKOVÁ et. al.

Basic information

Original name

Fatal delayed hemopericardium and hemothorax following blunt chest trauma

Authors

DOKOUPIL, Marek (203 Czech Republic), Klára MARECOVA (203 Czech Republic), Matěj UVÍRA (203 Czech Republic), Marek JOUKAL (203 Czech Republic, belonging to the institution), Eva MRÁZKOVÁ, Jana CHMELOVÁ (203 Czech Republic) and Petr HANDLOS (203 Czech Republic, guarantor)

Edition

Forensic Science, Medicine, and Pathology, New Jersey, Humana Press, 2019, 1547-769X

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30501 Forensic science

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 1.611

RIV identification code

RIV/00216224:14110/19:00111105

Organization unit

Faculty of Medicine

UT WoS

000467470900018

Keywords in English

Cardiac injury; Delayed hemopericardium; Delayed hemothorax; Blunt trauma; Stab wound

Tags

Tags

International impact, Reviewed
Změněno: 31/10/2019 11:47, Mgr. Tereza Miškechová

Abstract

V originále

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.