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Ruptured pseudo-aneurysm of a femoral artery in a drug abuser revealed by post-mortem CT angiography

Michaud, Katarzyna ; Grabherr, Silke ; Lesta, Maria ; Augsburger, Marc ; Doenz, Franceso ; Mangin, Patrice

In: International Journal of Legal Medicine, 2013, vol. 127, no. 4, p. 819-823

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    Titre
    • Ruptured pseudo-aneurysm of a femoral artery in a drug abuser revealed by post-mortem CT angiography
    Auteur
    • Michaud, Katarzyna. University Center of Legal Medicine, Lausanne and Geneva, Rue du Bugnon 21, 1011, Lausanne, Switzerland
    • Grabherr, Silke. University Center of Legal Medicine, Lausanne and Geneva, Rue du Bugnon 21, 1011, Lausanne, Switzerland
    • Lesta, Maria. University Center of Legal Medicine, Lausanne and Geneva, Rue du Bugnon 21, 1011, Lausanne, Switzerland
    • Augsburger, Marc. University Center of Legal Medicine, Lausanne and Geneva, Rue du Bugnon 21, 1011, Lausanne, Switzerland
    • Doenz, Franceso. Department of Diagnostic and Interventional Radiology, University Hospital of Lausanne, Rue du Bugnon 46, 1011, Lausanne, Switzerland
    • Mangin, Patrice. University Center of Legal Medicine, Lausanne and Geneva, Rue du Bugnon 21, 1011, Lausanne, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • International Journal of Legal Medicine, 2013, vol. 127, no. 4, p. 819-823. Springer-Verlag
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:321331
    Summary
    A 35-year-old drug addict was found dead in a public toilet with a ruptured groin, which was later diagnosed to be a leaking pseudo-aneurysm. Investigation at the scene revealed impressive external hemorrhage related to a groin wound. Post-mortem computed tomography angiography demonstrated an aneurysm of the right femoral artery with leak of contrast liquid. Signs of blood loss were evident at autopsy, and histological examination revealed necrosis and rupture of the pseudo-aneurysm. Toxicological analyses were positive for methadone, cocaine, citalopram, and benzodiazepines. This is the first case report in the literature of a ruptured femoral pseudo-aneurysm with a post-mortem radiological diagnosis