False positive aortic dissection on postmortem computed tomography. (September 2015)

• Record Type: Journal Article
• Authors: Le Blanc-Louvry, Isabelle; Thureau, Sophie; Ledoux, Kathy; Mogdad, Benjamin; Lagroy, Emma; Dacher, Jean Nicolas; Tournel, Gilles
• Is Part Of: Forensic science international. Volume 254(2015)
• Page Start: e4
• Page End: e6
• Publication Date: 2015-09
• Subjects: Forensic radiology -- Postmortem computed tomography -- Diagnostic error -- Aortic dissection; Medical jurisprudence -- Periodicals; Chemistry, Forensic -- Periodicals; Forensic Medicine -- Periodicals; Médecine légale -- Périodiques; Chimie légale -- Périodiques; Gerechtelijke geneeskunde; Gerechtelijke chemie; Gerechtelijke psychiatrie; Chemistry, Forensic; Medical jurisprudence; Electronic journals; Periodicals; Electronic journals; 614.1
• DOI: 10.1016/j.forsciint.2015.06.014
• Languages: English
• ISSNs: 0379-0738

Abstract

Highlights: Two cases of false positive aortic dissection are reported. The causes of the error were mediastinal abscess or a hematoma. The interest in performing an opacification during PMCT is underlined. Abstract: Post-mortem CT-scan (PMCT) has become increasingly useful as a diagnostic tool. However, certain normal postmortem changes may mimic the appearance of pathologic findings. We report two cases of false positive aortic dissection. Methods: Non-contrast PMCT was performed on a sixty-four-detector row scanner. Each PMCT examination was assessed and reported by two independent radiologists. Autopsies were performed according European recommendations. Cases: In two corpses, a false positive DeBakey type I aortic dissection was detected. Autopsies confirmed that CT findings were artifactual. For each case the cause of the mistake was individually discussed and mainly based on the abnormalities observed during the autopsy. In fact, in our series (750 PMCT) a true aortic dissection was detected in two corpses during the same period. Conclusion: When a PMCT is performed, false positive aortic dissection can occur, which confirms the interest in combining opacification.