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.
Selçuk ÇETİN ÖZETCinayet-intihar olayı bir failin bir ya da daha fazla kurbanı öldürdükten hemen sonra ya da kısa bir süre sonra kendini öldürmesi olarak tanımlanır. Olaylar genelde bir çifti içerdiğinden "ikili ölüm" (dyadic death) terimi kullanılmıştır. İkili ölümler genelde aile içinde görülmekte olup failler erkek, kurbanlar ise kadındır. İkili ölümlerin nedenleri arasında genellikle aile içi ilişkilerde bozulma, zihinsel ya da somatik hastalıklar ve maddi sıkıntıların yer aldığı belirtilmektedir. İlk olarak Marzuk ve arkadaşları tarafından cinayet-intihar vakaları olayın faili ve kurban arasındaki ilişkiye ve failin dürtüsüne (kıskançlık, intikam, maddi sıkıntı vs.) göre sınıflandırılmıştır. Bu çalışmada; yaklaşık 30 sene önce boşanan ve son 1 senedir tekrar beraber yaşamaya başlayan çiftin cinayet-intihar özellikteki ikili ölümü, literatür eşliğinde tartışılmak amacıyla sunulmuştur.Anahtar kelimeler: Cinayet-intihar, ikili ölüm, kesici delici alet yaralanması, ası. ABSTRACTHomicide-suicide event is defined as killing him or herself right after or in a short time period after killing one or more people. As events involve a couple, the term dyadic death is also used. Dyadic death events are generally observed to occur in families and in addition to this perpetrators are men, victims are women. Among the reasons of dyadic death are corruption in family relationships, somatic or mental diseases and financial problems. Marzuk et al. initially reported that homicidesuicide events are classified depending on perpetratorvictim relationship and perpetrator's motive (jealousy, revenge, financial issues.. etc.). Dyadic death event of the couple who divorced approximately 30 years ago and lived together for one last year again, in this homicidesuicide event victim died with incisive-perforating instrument and on the other hand the perpetrator died by hanging himself was discussed in the literature.
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.
Bu sunumda adli otopside şiloperikardiyum saptanan 72 yaşındaki kadın olguyu medikolegal boyutuyla sunarak tartışmayı ve kısa literatür incelemesi yapmayı amaçladık. Basit bir tıbbi müdahale ile giderilebilecek nitelikte yaralanmaya maruz kaldığı darp olayından 5 gün sonra gastrointestinal sistem şikayetleri nedeniyle bir hastaneye başvurmuştur. İnsizyonel herni ve kolon divertikül perforasyonu cerrahi tedavisi sonrası hemodinamisi stabil olarak klinikte takip ve tedavileri devam ederken, hastaneye yatışının ikinci gününde ölmüştür. Otopsisinde iç muayenede, perikardın gergin ve boşluğunun beyaz renkli şilöz sıvı ile dolu olduğu görüldü. Batında cerrahi sütüre yara, ekimoz, membran ve noktasal kanama alanları ile adhesiv alanlar izlendi. Makroskobik olarak yoğun peritonit bulgusu izlenmedi. Histopatolojik incelemede; akciğerlerde ödem, kalpte myosit sitoplazmalarında genişleme, ince ve kalın bağırsaklarda serozal yüzde yoğun nötrofil lökosit infiltrasyonu, sütür materyali yanısıra nonspesifik bulgular saptandı. Kimyasal analizlerde herhangi bir toksik madde saptanmadı. Perikard boşluğundan alınan sıvının biyokimyasal analizinde; 461 mg/dL trigliserid ve 114 mg/dL kolesterol saptandı. Kişinin ölüm nedeni ‘‘insizyonel herni....
…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.
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