Correction to: The value of postmortem computed tomography in paediatric natural cause of death: a Dutch observational study

The bench press is a widespread form of weight training with few scientific reports on its associated fatalities. We herein report a case of an individual performing bench press training who was found deceased in a supine position on the bench with the shaft of the barbell resting on his neck. The bench press safety bars were set at bench height. On the basis of the postmortem computed tomography imaging and the autopsy, the cause of death was determined to be fatal traumatic asphyxia caused by a cervical compression. We wish to highlight the importance of correctly using safety devices during weight training as well as the need for developing and disseminating safe equipment that is not dependent on the manner of use. We also wish to highlight the need for a form of legal regulation on the design of devices.

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Hereditary Angioedema as the Cause of Death from Asphyxia: Postmortem Computed Tomography Study

Allergology International ◽

10.2332/allergolint.13-le-0655 ◽

2014 ◽

Vol 63 (3) ◽

pp. 493-494 ◽

Cited By ~ 4

Author(s):

Michiko Shibuya ◽

Naoya Takahashi ◽

Masahiro Yabe ◽

Kazumasa Iwamoto ◽

Michihiro Hide

Keyword(s):

Computed Tomography ◽

Cause Of Death ◽

Hereditary Angioedema ◽

Postmortem Computed Tomography

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Use of Postmortem Computed Tomography to Detect Bowel Obstruction and its Relationship to the Cause of Death

American Journal of Forensic Medicine & Pathology ◽

10.1097/paf.0000000000000365 ◽

2017 ◽

pp. 1

Author(s):

Dominic Gascho ◽

Sarah Schaerli ◽

Lucile Tuchtan-Torrents ◽

Michael J. Thali ◽

Guillaume Gorincour

Keyword(s):

Computed Tomography ◽

Cause Of Death ◽

Bowel Obstruction ◽

Postmortem Computed Tomography

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Quantitative analysis of pulmonary pathophysiology using postmortem computed tomography with regard to the cause of death

Forensic Science International ◽

10.1016/j.forsciint.2012.03.007 ◽

2012 ◽

Vol 220 (1-3) ◽

pp. 232-238 ◽

Cited By ~ 32

Author(s):

Tomomi Michiue ◽

Terumi Sakurai ◽

Takaki Ishikawa ◽

Shigeki Oritani ◽

Hitoshi Maeda

Keyword(s):

Computed Tomography ◽

Quantitative Analysis ◽

Cause Of Death ◽

Postmortem Computed Tomography

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Postmortem Computed Tomography Imaging in the Investigation of Nontraumatic Death in Infants and Children

BioMed Research International ◽

10.1155/2013/327903 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5 ◽

Cited By ~ 11

Author(s):

Yukihiro Noda ◽

Ken Yoshimura ◽

Shoji Tsuji ◽

Atsushi Ohashi ◽

Hirohide Kawasaki ◽

...

Keyword(s):

Computed Tomography ◽

Clinical Diagnosis ◽

Cause Of Death ◽

Concordance Rate ◽

Infants And Children ◽

Postmortem Computed Tomography ◽

Promising Technique ◽

Computed Tomography Imaging ◽

Multicenter Trials ◽

Clinical Diagnoses

Objective. To determine the accuracy of postmortem computed tomography (PMCT) for the assessment of causes in nontraumatic deaths in children.Study Design. We enrolled cases of nontraumatic deaths of infants and children who underwent PMCT at a single center. The presumed cause of death determined by PMCT was prospectively compared with the clinical and pathological diagnoses of deaths.Results. Thirty-eight cases were enrolled for analysis. Among them, seven cases also underwent conventional medical autopsy. PMCT revealed an identifiable cause of death in accordance with the clinical diagnosis of death in 16 cases of the 38 cases (the concordance rate was 42%) and in accordance with the autopsy cause of death in four of the seven autopsy cases (the concordance rate was 57%). Among eight cases with unknown cause of death by clinical diagnosis, four cases (50%) were identified with cardiac tamponade as a cause of death (one case) and intracranial hemorrhage suggesting abuse (3 cases).Conclusions. PMCT seems to be a promising technique that might serve as a substitute for conventional medical autopsy and give us the complementary information to clinical diagnoses particularly in cases of child abuse. Larger multicenter trials are worthwhile to validate the general feasibility of PMCT.

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Postmortem Computed Tomography after Unsuccessful Resuscitation of Out-of-Hospital Cardiopulmonary Arrest Patients for Defining Cause of Death

Prehospital and Disaster Medicine ◽

10.1017/s1049023x00011006 ◽

2002 ◽

Vol 17 (S2) ◽

pp. S79-S79

Author(s):

K. Kuboyama ◽

S. Marukawa ◽

K. Yoshibaga

Keyword(s):

Computed Tomography ◽

Cause Of Death ◽

Cardiopulmonary Arrest ◽

Postmortem Computed Tomography

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Clinical Relevance of Unexpected Findings of Post-Mortem Computed Tomography in Hospitalized Patients: An Observational Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17207572 ◽

2020 ◽

Vol 17 (20) ◽

pp. 7572

Author(s):

Max G. Mentink ◽

Bartholomeus G. H. Latten ◽

Frans C. H. Bakers ◽

Casper Mihl ◽

Roger J. M. W. Rennenberg ◽

...

Keyword(s):

Computed Tomography ◽

Observational Study ◽

Cause Of Death ◽

Clinical Relevance ◽

Clinical Care ◽

Hospitalized Patients ◽

Post Mortem ◽

Next Of Kin ◽

Conventional Autopsy ◽

Unexpected Findings

Background and objective: The current literature describing the use of minimally invasive autopsy in clinical care is mainly focused on the cause of death. However, the identification of unexpected findings is equally important for the evaluation and improvement of daily clinical care. The purpose of this study was to analyze unexpected post-mortem computed tomography (PMCT) findings of hospitalized patients and assess their clinical relevance. Materials and methods: This observational study included patients admitted to the internal medicine ward. Consent for PMCT and autopsy was requested from the next of kin. Decedents were included when consent for at least PMCT was obtained. Consent for autopsy was not obtained for all decedents. All findings reported by PMCT were coded with an International Classification of Diseases (ICD) code. Unexpected findings were identified and subsequently categorized for their clinical relevance by the Goldman classification. Goldman class I and III were considered clinically relevant. Additionally, correlation with autopsy results and ante-mortem imaging was performed. Results: In total, 120 decedents were included and evaluated for unexpected findings on PMCT. Of them, 57 decedents also underwent an autopsy. A total of 1020 findings were identified; 111 correlated with the cause of death (10.9%), 508 were previously reported (49.8%), 99 were interpreted as post-mortem changes (9.7%), and 302 were classified as unexpected findings (29.6%). After correlation with autopsy (in 57 decedents), 24 clinically relevant unexpected findings remained. These findings were reported in 18 of 57 decedents (32%). Interestingly, 25% of all unexpected findings were not reported by autopsy. Conclusion: Many unexpected findings are reported by PMCT in hospitalized patients, a substantial portion of which is clinically relevant. Additionally, PMCT is able to identify pathology and injuries not reported by conventional autopsy. A combination of PMCT and autopsy can thus be considered a more comprehensive and complete post-mortem examination.

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