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Forensic autopsy showed a major subcutaneous hemorrhage in the neck and large left pleural and pericardial adhesions secondary to thoracic surgery. The cause of death was an acute aortic dissection. Large adhesions led to an extensive mediastinal hemorrhage, spreading to the subcutaneous tissues of the neck. This case report highlights the difficulties in differentiating between traumatic and pseudo-bruising during a death scene investigation. The etiologies of pseudo-bruising are reviewed.<\/jats:p>","DOI":"10.1177\/0025802412473962","type":"journal-article","created":{"date-parts":[[2013,8,7]],"date-time":"2013-08-07T01:25:56Z","timestamp":1375838756000},"page":"54-57","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Neck pseudo-bruising secondary to acute aortic dissection"],"prefix":"10.1177","volume":"54","author":[{"given":"Anne-Sophie","family":"Advenier","sequence":"first","affiliation":[{"name":"Department of Forensic Medicine and Pathology, Raymond Poincar\u00e9 Hospital, AP-HP, Versailles Saint-Quentin University, Garches, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e9hanne","family":"Marchaut","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine and Pathology, Raymond Poincar\u00e9 Hospital, AP-HP, Versailles Saint-Quentin University, Garches, 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