{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T00:10:02Z","timestamp":1739491802665,"version":"3.37.0"},"reference-count":1,"publisher":"Uniwersytet Jagiellonski - Wydawnictwo Uniwersytetu Jagiellonskiego","issue":"3","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/deed.pl"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AMSIK"],"abstract":"<jats:p>Background: The literature reports cases of ventricular rupture in blunt chest trauma following motor vehicle accidents. It rarely describes cardiac tamponade due to rupture of the heart following blunt thoracic trauma in a physical assault. There are rare cases where fatal cardiac tamponade results from a ruptured ventricle without externally visible injuries to the chest. It is also rare for the cardiac rupture to occur on the posterior side. In our case series, the first case involved a direct blow to the left side of the chest by a projectile (brick), causing rupture of the left ventricle\u2019s base with intact pericardium. In the second case, a direct blow to the left side of the chest led to rupture of the right ventricle\u2019s posterior wall.\n\nCase presentation: Here, we report two autopsy-based case series of isolated right and left ventricular rupture with cardiac tamponade in blunt thoracic trauma with a specific history and background information of assault. The first case is a 35-year-old male assaulted with a brick thrown at his chest in a moving bus; he was declared dead on arrival after a one-hour journey. The second case is a 55-year-old male assaulted with double punches in his chest and declared dead on arrival at the hospital after 30 minutes. A medicolegal autopsy and thorough investigation, in both cases, revealed cardiac tamponade due to ventricular rupture with no underlying pathology. \n\nConclusion: This case series underlines the importance of systematic and complete cardiac examination in all death cases following blunt chest trauma even with minimal or no evidence of a visible injury to the chest. Rarely cardiac rupture is noticed on the posterior surface or apex of the heart. The case series illustrates a rare occurrence of cardiac rupture that requires apt investigation and certification of medicolegal causes of death to determine how the death was caused.\n\nP\u0119kni\u0119cie serca na skutek urazu t\u0119pego w zwi\u0105zku z napa\u015bci\u0105 fizyczn\u0105: analiza przypadk\u00f3w sekcyjnych\n\nWst\u0119p: W pi\u015bmiennictwie mo\u017cna odnale\u017a\u0107 przypadki p\u0119kni\u0119cia komory serca na skutek t\u0119pego urazu klatki piersiowej spowodowanego wypadkiem samochodowym. Rzadko opisywana jest tamponada serca na skutek urazu t\u0119pego w zwi\u0105zku napa\u015bci\u0105 fizyczn\u0105. Sporadyczne s\u0105 przypadki, w kt\u00f3rych tamponada serca wynika z p\u0119kni\u0119cia komory bez obecno\u015bci zewn\u0119trznych obra\u017ce\u0144 na klatce piersiowej. Rzadko p\u0119kni\u0119ciu ulega tylna \u015bciana serca. W naszej serii przypadk\u00f3w, pierwszy dotyczy bezpo\u015bredniego uderzenia w lew\u0105 stron\u0119 klatki piersiowej przez ceg\u0142\u0119, co spowodowa\u0142o p\u0119kni\u0119cie podstawy lewej komory serca bez uszkodzenia worka osierdziowego. W drugim przypadku bezpo\u015brednie uderzenie w lew\u0105 stron\u0119 klatki piersiowej doprowadzi\u0142o do p\u0119kni\u0119cia tylnej \u015bciany prawej komory serca.\n\nOpis przypadku: Prezentujemy dwa sekcyjne przypadki izolowanego p\u0119kni\u0119cia prawej i lewej komory serca z tamponad\u0105 po t\u0119pych urazach klatki piersiowej, w kt\u00f3rych istnia\u0142y informacje o napa\u015bci. Pierwszy przypadek to 35-letni m\u0119\u017cczyzna napadni\u0119ty poprzez rzucenie ceg\u0142\u0105 w jad\u0105cym autobusie; zgon stwierdzono po przyje\u017adzie po jednogodzinnej podr\u00f3\u017cy. Drugi przypadek to 55-letni m\u0119\u017cczyzna napadni\u0119ty poprzez dwa uderzenia w klatk\u0119 piersiow\u0105. Zgon stwierdzono po 30 minutach w szpitalu. Medyczno-s\u0105dowa sekcja zw\u0142ok i dochodzenie w obu przypadkach ujawni\u0142y tamponad\u0119 serca na skutek p\u0119kni\u0119cia komory bez zmian chorobowych.\n\nPodsumowanie: Powy\u017csza seria przypadk\u00f3w podkre\u015bla znaczenie systematycznego i pe\u0142nego badania serca we wszystkich przypadkach zgon\u00f3w poprzedzonych t\u0119pym urazem klatki piersiowej nawet z widocznymi minimalnymi obra\u017ceniami lub bez nich. Rzadko p\u0119kni\u0119cie serca jest stwierdzane na jego tylnej powierzchni lub na koniuszku. Seria przypadk\u00f3w ilustruje rzadkie wyst\u0119powanie p\u0119kni\u0119cia serca, kt\u00f3re wymaga odpowiedniego post\u0119powania i dokumentowania medyczno-s\u0105dowego, aby ustali\u0107 przyczyn\u0119 zgonu.<\/jats:p>","DOI":"10.4467\/16891716amsik.22.018.17396","type":"journal-article","created":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T12:28:58Z","timestamp":1677846538000},"page":"151-157","source":"Crossref","is-referenced-by-count":0,"title":["Blunt cardiac rupture due to physical assault: An autopsy-based case series"],"prefix":"10.4467","volume":"72","author":[{"given":"Abhaykumar B.","family":"Dheeraj","sequence":"first","affiliation":[{"name":"All India Institute of Medical Sciences, Deoghar, Jharkhand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandeep Kumar","family":"Giri","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine & Toxicology, Kalpana Chawala Medical College & Hospital, Karnal, Haryana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swapnil P.","family":"Akhade","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine & Toxicology, All India Institute of Medical Sciences, Raipur, Chhattisgarh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kavyesh","family":"Sahu","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine & Toxicology, All India Institute of Medical Sciences, Raipur, Chhattisgarh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1279-9919","authenticated-orcid":false,"given":"Vijay","family":"Pal","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine, Kalpana Chawala Medical College & Hospital, Karnal, Haryana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nighat","family":"Hussain","sequence":"additional","affiliation":[{"name":"Department of Pathology & Lab Medicine, All India Institute of Medical Sciences, Raipur, Chhattisgarh"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10051","published-online":{"date-parts":[[2023,3,1]]},"reference":[{"key":"ref0","unstructured":"VAJDA J\u00e1nos, Publicisztikai \u00edr\u00e1sok 1., s. a. r. MIKL\u00d3SSY J\u00e1nos, SERES J\u00f3zsef \u00e9s M. VARR\u00d3 Judit, Vajda J\u00e1nos \u00f6sszes m\u0171vei 7 (Budapest: Akad\u00e9miai Kiad\u00f3, 1979)"}],"container-title":["Archives of Forensic Medicine and Criminology"],"original-title":[],"link":[{"URL":"https:\/\/www.ejournals.eu\/pliki\/art\/23091\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T23:28:50Z","timestamp":1739489330000},"score":1,"resource":{"primary":{"URL":"https:\/\/ejournals.eu\/en\/journal\/amsik\/article\/blunt-cardiac-rupture-due-to-physical-assault-an-autopsy-based-case-series"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,1]]},"references-count":1,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,3,1]]}},"URL":"https:\/\/doi.org\/10.4467\/16891716amsik.22.018.17396","relation":{},"ISSN":["1689-1716","0324-8267"],"issn-type":[{"type":"electronic","value":"1689-1716"},{"type":"print","value":"0324-8267"}],"subject":[],"published":{"date-parts":[[2023,3,1]]}}}