Objective: The human body loses flexibility and durability from the pathophysiological changes of aging; therefore, trauma and the risk of injury increase in geriatric individuals. Elderly patients who have been admitted to health centers with trauma and injury require a serious treatment approach.Materials and Methods: A total of 15851 victims who were admitted to Bursa Branch of the Council of Forensic Medicine of the Ministry of Justice between 01/01/2011 and 31/12/2011 were retrospectively evaluated, and 207 of them, who were trauma patients aged 65 years and over, were included in this study. All cases were evaluated according to the cause of the injury, localization of the trauma, bone fractures and type of medical treatment.Results: Two hundred nineteen of the total 15851 forensic patients were 65 years and older. Of these 219 cases, 207 (94.5%) had been exposed to trauma. Of these 207 cases, 138 (66.7%) were male, and 69 (33.3%) were female. The most common types of trauma were physical assault (n=136) and motor vehicle accidents (n=56), which occurred at rates of 65.7% and 27.1%, respectively. For the trauma victims, head injury was the most commonly affected body region. Ninety-seven patients were treated conservatively (46.9%), and 43 patients were treated surgically (20.8%). Traumatic bone injury (31%) was detected in 64 patients. Conclusion:The results of our study indicate that most of the geriatric victims were admitted to the medical centers with traumatic causes. Thus, it is necessary to increase our social sensitivity to trauma and the ways in can be prevented in the geriatric age group.
Tek ventrikül kalp, tek ventrikülle beraber çeşitli fonksiyonel ve fizyolojik kusurları içeren nadir bir kardiyak anomalidir. Bu anomali ani kardiyak ölüme neden olabilir. Bu olguda biz hastaneden taburcu olduktan sonra beşinci günde ölen ve defin ruhsatı alınmadan gömülen 71 günlük bebeği sunduk. Otopsi bulgularında tek ventrikül, triküspid atrezisi ve aort koarktasyonu, 134 gram ağırlığında büyük bir kalp vardı. Bu olgu sunumu ile amacımız bu konuyla ilgili yasal gömme prosedürleri, otopsi ve klinik özellikleri sunmaktır.
…ZETPelvik inflamatuar hastalÝk (PID) olgularÝnÝn klinik a•Ýdan ge• tanÝnmasÝ mortalite ve morbidite a•ÝsÝndan šnemli sorunlar yaratmasÝ nedeni ile medikolegal a•Ýdan incelenmesini de gerekli kÝlmaktadÝr. Olgumuzu PID olgularÝnda sessiz klinik ile gidißin komplikasyonlarÝ Ÿzerinde durarak litaratŸr ile birlikte tartÝßmayÝ ama•lamaktayÝz. Olgumuz 38 yaßÝnda hastaneye uzun sŸredir devam eden nonspesifik kal•a ve bel aÛrÝlarÝ i•in baßvu-ran ve antienflamatuar tedavi gšrŸp en son yapÝlan aÛrÝ kesici ve anfienflamatuar enjeksiyondan sonra ani bir ßekilde šlen bir kadÝndÝr. DÝß muayenesinde saÛ ingunal dÝß yan ve saÛ uyluk Ÿst i• bšlŸmŸnde sarÝ yeßil renkte ekimoz alanlarÝ dÝßÝnda belirgin herhangi bir bulgu saptanmadÝ. Otopside akciÛerlerde konjesyon, batÝnda perihepatik ve perisplenik alanda gri yeßil renkte membranlar, karaciÛer ve dalak kapsŸllerinde fibršz kalÝnlaßmalar, saÛ over ve tubanÝn pelvis duvarÝna yapÝßÝk, Douglas boßluÛunda kolleksiyon olduÛu izlendi. Mikroskopik incelemede kalpte konjesyon, akciÛerlerde hiperemi, karaciÛerde baÛ dokusu artÝßÝ, parankim hŸcrelerinde yer yer nekroz, kšp-rŸleßme nekrozlarÝ, tuba uterina duvarÝnda ve omentumda yer yer folikŸl olußturan iltihabi hŸcre infiltrasyonu bulgularÝ gš-rŸldŸ. Laboratuar incelemelerinde ise herhangi bir šzellik saptanmadÝ. …lŸmŸn pelvik inflamatuar hastalÝÛa baÛlÝ gelißen hepatit, abse formasyonu ve peritonit sonucu meydana geldiÛi rapor edildi.Anahtar kelimeler: Pelvik inflamatuar hastalÝk, šlŸm, otopsi. SUMMARYPelvic inflamatory disease (PID) should be investigated on the aspect of clinically and medicolegally, since in clinical practice delayed diagnosis of these cases expose serious morbidity and mortality problems. In this study we aimed to underline complications and silent clinical course of PID case with literature review. Our case was 38 years old woman died in hospital where was treated for her nonspesific chronic hypocondriac and lumbar pain with antiflamatuary agents. Family history showed that victim had multiple sexual partners. On external examination there was yellow green colored bruise on right outer lateral and left inner aspects of inguinal region. On macroscopic examination lung congestion grayish green membranes in perisplenic and perihepatic areas, fibrous thickening of hepatic and splenic capsules, tuboovarian abses formation, yellowish fluid collection in Douglas pouch and tuba. On microscopic evaluation cardiac congestion, lung hyperemia, liver fibrosis, paranchymal cell, bridging necroses, lymphositic infiltration with follicle formation on tuba uterina wall and omentum. In toxicologic study no substance was detected. Finally death was declared as hepatitis, pelvic abses formation and peritonitis due to pelvic inflamatory disease.
Elektrik akımına bağlı ölümler ile ilgili her geçen gün çok sayıda yeni verinin elde edilmesinin yanında, özellikle farklı düzenekler kurarak elektrik akımı ile intihar eden olguların üzerinde önemle durulmaktadır. Olgumuz kendi ev ortamında özel düzenek kurarak elektrik akımı ile intihar eden psikiyatrik hastalık öyküsü alman ve daha önce de başarısız intihar girişiminde bulunmuş 58 yaşında bir erkektir. Olay yerinde ayak bilekleri ve sol el bileğine sıyrılmış bakır elektrik kablosunun bağlanmış olduğu ve intihar mektupları bulunduğu görülmüştür. Dış muayenesinde elektrik yanığına ait lezyonlar, iç muayenede nonspesifik değişiklikler, mikroskobik incelemede deride cpidcrmisıc ayrışma, keratinosit nükleuslarda uzama ve bir tarafa yönlenme, dermişte nekroz ve hiperemi gibi elektrik akımının meydana getirdiği değişiklikler izlendi. Vücudunda herhangi bir toksik madde tespit edilmedi. Ölümün vücuttan elektrik akımı geçmesi sonucu meydana geldiği rapor edildi. Olgumuz elektrik akımına bağlı intiharların medikolegal özellikleri açısından değerlendirerek tartışılmıştır.Anahtar Kelimeler: Elektrik, intihar, ölüm, olay yeri, otopsi.
Bu çalışmada Şubat 2004’te Ege denizinde meydana gelen gemi kazasında suda boğularak ölen Afrika kökenli olgulardan elde edilen otopsi bulgularını, kimlik tespitine yönelik yapılanları irdelemeyi amaçlanmıştır. Adli Tıp Kurumu Bursa Grup Başkanlığı Morg İhtisas Dairesi’nde otopsileri yapılan 25 olgunun raporları retrospektif incelenmiştir. 9 kadın, 16 erkek olgunun dış muayenesinde 3 kadında sünnet, bazı olgularımızda parmak anomalileri, dişlerde metal kaplama, tatuaj gibi kimlik tespitine yönelik bulgular izlenmiştir. Tüm olgularda fotoğraflanma yapılıp, DNA analizi için örnekler alınmıştır. Tüm olgularda ölümün suda boğulmaya bağlı mekanik asfiksi sonucu meydana geldiği rapor edilmiştir. Sadece 3 olgumuzun kimlik tespiti gerçekleştirilebilmiştir. Olgularımızın kimliklendirilmesi için yapılan işlemler ve saptanan bulgular tartışılmıştır. Yabancı uyrukluların kimliklendirilmesi için uluslararası işbirliğinin gerektiği ortaya konmuştur.Anahtar kelimeler: Gemi kazası, toplu ölümler, kimliklendirme, dış muayene, otopsi.
A 37-year-old man was admitted with neurological complaints after a traffic accident. Physical examination showed no signs of injury due to the accident. Magnetic resonance imaging of the neck revealed a well-demarcated lesion showing homogeneous contrast enhancement at the level of C(1-2). The patient underwent elective surgery, and histopathological diagnosis of the surgical specimen was made as cervical schwannoma. His neurological complaints disappeared on the second postoperative day. No neurological deficit was observed at six-month follow-up. To our knowledge, there has been no literature report in which the diagnosis of cervical schwannoma was made during investigation of trauma-induced neurological symptoms.
Injury and death cases caused by booby traps are not common in forensic medicine practice. Besides, installation of booby traps including firearms is generally for suicidal and rarely for homicidal purposes. Although few patents were described about home security alarm system that were created by firearms in the United States, 1 sample of injury with a similar unconventional mechanism of home safety system was reported by Asirdizer and Yavuz in 2009. In the published case report, the story of an electrical technician who was invited to a summer house by the homeowner to check the home security alarm system was reported. In the so-called report, he was stated to be injured by the shotgun attached to the unconventional home security alarm system while checking the system. As a result, the homeowner was convicted of a possible intent to cause a life-threatening injury to the technician.The so-called homeowner and his wife died by the same shotgun attached to the same unconventional home security alarm system 4 years on from the first event. In the present case report, we have aimed to present the findings of the crime scene and the autopsies of these unusual 2 deaths and to discuss individual and legal factors in paving the way for the deaths of 2 people.
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