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Unusual foreign bodies visualized by postmortem computed tomography in a deceased with borderline personality disorder
The objective of this case report is the visualization and assessment of ingested or inserted foreign bodies by postmortem computed tomography and autopsy. The presence of foreign objects in the gastrointestinal tract involves, among many other medical subdisciplines, the fields of forensic medicine...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7358626/ https://www.ncbi.nlm.nih.gov/pubmed/32685082 http://dx.doi.org/10.1016/j.radcr.2020.07.002 |
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author | Baumeister, Rilana Thali, Michael Josef |
author_facet | Baumeister, Rilana Thali, Michael Josef |
author_sort | Baumeister, Rilana |
collection | PubMed |
description | The objective of this case report is the visualization and assessment of ingested or inserted foreign bodies by postmortem computed tomography and autopsy. The presence of foreign objects in the gastrointestinal tract involves, among many other medical subdisciplines, the fields of forensic medicine and psychiatry. We present a case of an 18-year-old female Caucasian with borderline personality disorder who was found unconscious in a closed psychiatric ward with suspected ingested foreign bodies. Cardiopulmonary resuscitation was unsuccessful. Postmortem computed tomography revealed several sharp foreign bodies in the intestine varying in radiodensity and shape but not perforating any anatomic structures. The autopsy showed well-preserved tablets in the intestine, a few inserted glass fragments and one metal fragment. Ultimately, fatal intoxication involving a mixture of opioids, benzodiazepines, neuroleptics and antidepressants resulted. This case illustrates the potential contribution of postmortem computed tomography in diagnosing, localizing and defining ingested and inserted foreign bodies in deceased as well as living individuals. Thus, diagnostic imaging might increase safety not only for the affected individuals but also for medical staff. |
format | Online Article Text |
id | pubmed-7358626 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-73586262020-07-17 Unusual foreign bodies visualized by postmortem computed tomography in a deceased with borderline personality disorder Baumeister, Rilana Thali, Michael Josef Radiol Case Rep Forensic, Anthropological, and Historical The objective of this case report is the visualization and assessment of ingested or inserted foreign bodies by postmortem computed tomography and autopsy. The presence of foreign objects in the gastrointestinal tract involves, among many other medical subdisciplines, the fields of forensic medicine and psychiatry. We present a case of an 18-year-old female Caucasian with borderline personality disorder who was found unconscious in a closed psychiatric ward with suspected ingested foreign bodies. Cardiopulmonary resuscitation was unsuccessful. Postmortem computed tomography revealed several sharp foreign bodies in the intestine varying in radiodensity and shape but not perforating any anatomic structures. The autopsy showed well-preserved tablets in the intestine, a few inserted glass fragments and one metal fragment. Ultimately, fatal intoxication involving a mixture of opioids, benzodiazepines, neuroleptics and antidepressants resulted. This case illustrates the potential contribution of postmortem computed tomography in diagnosing, localizing and defining ingested and inserted foreign bodies in deceased as well as living individuals. Thus, diagnostic imaging might increase safety not only for the affected individuals but also for medical staff. Elsevier 2020-07-11 /pmc/articles/PMC7358626/ /pubmed/32685082 http://dx.doi.org/10.1016/j.radcr.2020.07.002 Text en © 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Forensic, Anthropological, and Historical Baumeister, Rilana Thali, Michael Josef Unusual foreign bodies visualized by postmortem computed tomography in a deceased with borderline personality disorder |
title | Unusual foreign bodies visualized by postmortem computed tomography in a deceased with borderline personality disorder |
title_full | Unusual foreign bodies visualized by postmortem computed tomography in a deceased with borderline personality disorder |
title_fullStr | Unusual foreign bodies visualized by postmortem computed tomography in a deceased with borderline personality disorder |
title_full_unstemmed | Unusual foreign bodies visualized by postmortem computed tomography in a deceased with borderline personality disorder |
title_short | Unusual foreign bodies visualized by postmortem computed tomography in a deceased with borderline personality disorder |
title_sort | unusual foreign bodies visualized by postmortem computed tomography in a deceased with borderline personality disorder |
topic | Forensic, Anthropological, and Historical |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7358626/ https://www.ncbi.nlm.nih.gov/pubmed/32685082 http://dx.doi.org/10.1016/j.radcr.2020.07.002 |
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