Contusio cordis, not an innocent diagnosis

Contusio Cordis Associated with Atrioventricular Block and Tricuspid Regurgitation

The expression “contusio cordis” defines a lesion of the cardiac myocyte, hemorrhagic or fibrotic, due to the application of violent kinetic force resulting from a blunt trauma to the precordial region1. Syncope is almost always the first clinical manifestation observed, and commonly precedes death. Contusio cordis differs from commotio cordis, the latter representing a cardiac electromechanica...

Commotio Cordis and Contusio Cordis: Possible Causes of Trauma-Related Cardiac Death

An important complication of chest trauma is serious cardiac problems. The fatal conditions like cardiac arrhythmias, including ventricular fibrillation and sudden cardiac arrest can occur in both cardiac concussion (commotio cordis) and cardiac contusion (contusio cordis). Commotio cordis is to be distinguished from cardiac contusion (contusio cordis) or blunt cardiac injury, a condition in wh...

Medical legal implications of cardiac contusion – case report

Cardiac contusions (contusio cordis) usually appear in penetrating thoracic trauma or high energy blunt trauma and only rarely in thoracic blunt trauma in homicidal context. The diagnosis could be easy if a traumatic context is/can be proven; if not the differential diagnosis with myocardial infarction, other causes of cardiac hemorrhages or post resuscitation cardiac trauma can be very difficu...

commotio cordis and contusio cordis: possible causes of trauma-related cardiac death

Gastric ectopic pancreas: not always an innocent bystander.

A 38-year-old male patient presented to the emergency room due to acute epigastric pain, nausea and vomiting. Physical examination revealed tenderness in the upper abdomen. Body temperature was 37.3°C. C-reactive protein was 113 mg/L (reference range: 0-3 mg/L) and his white blood cell count was raised (15.5 x109/L; reference range: 3.5-8.8 x109/L). Renal and liver function tests and serum panc...