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Vertebral artery aneurysm rupture: an autopsy case. 椎动脉动脉瘤破裂:1例尸检。
Soudni Lekarstvi Pub Date : 2013-10-01
Nursel Türkmen, Bülent Eren, Recep Fedakar
{"title":"Vertebral artery aneurysm rupture: an autopsy case.","authors":"Nursel Türkmen,&nbsp;Bülent Eren,&nbsp;Recep Fedakar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Vertebral artery aneurysm rupture is a rare cause of sudden death. The presented case was 31-year-old woman who was found dead in her bedroom. Family members stated that she had history of one year duration childhood epilepsy treatment. Autopsy investigation revealed 5 mm in diameter aneurysm, ruptured in 1 mm area, localized on the trunk of the right vertebral artery. We described an autopsy case of sudden unexpected death due to ruptured vertebral artery aneurysm.</p>","PeriodicalId":35533,"journal":{"name":"Soudni Lekarstvi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31914114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aortic arch blunt injury in front-seat passenger. 前座乘客主动脉弓钝伤。
Soudni Lekarstvi Pub Date : 2013-10-01
Nursel Türkmen, Bülent Eren, Şule Akköse Aydin
{"title":"Aortic arch blunt injury in front-seat passenger.","authors":"Nursel Türkmen,&nbsp;Bülent Eren,&nbsp;Şule Akköse Aydin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Aortic arch blunt injury has highly lethal nature. Because the physical examination findings are subtle, immediate medical evaluation is very important. The case was a 72-year-old woman. Massive haemorrhage in the left haemotorax, contusion area in the left lung and a traumatic transection of the distal aortic arch was observed during autopsy. We described intersting autopsy case of aortic arch blunt injury.</p>","PeriodicalId":35533,"journal":{"name":"Soudni Lekarstvi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31914117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Death due to traumatic tracheo-brachiocephalic artery fistula: an autopsy case. 外伤性气管-头臂动脉瘘致死亡:一例尸检。
Soudni Lekarstvi Pub Date : 2013-10-01
Nursel Türkmen, Bülent Eren, Berna Şenel
{"title":"Death due to traumatic tracheo-brachiocephalic artery fistula: an autopsy case.","authors":"Nursel Türkmen,&nbsp;Bülent Eren,&nbsp;Berna Şenel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tracheo-brachiocephalic artery fistulas were rarely reported lesions often described in cases with tracheostomy procedures. Reported case was 26 year-old male drainage worker, trapped under the stony soil while excavating drainage canal. Rescue operation was performed, but he was reached dead. Provincial prosecutor mandated autopsy after crime scene investigation. Autopsy examination revealed traumatically formed tracheo-brachiocephalic fistula. We aimed to report an intersting case of traumatic tracheo-brachiocephalic artery fistula identified in forensic autopsy.</p>","PeriodicalId":35533,"journal":{"name":"Soudni Lekarstvi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31914115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gender differences in alcohol affection on an individual. 酒精对个体影响的性别差异。
Soudni Lekarstvi Pub Date : 2013-07-01
Ivana Komáreková, Lubomír Straka, František Novomeský, Petr Hejna
{"title":"Gender differences in alcohol affection on an individual.","authors":"Ivana Komáreková,&nbsp;Lubomír Straka,&nbsp;František Novomeský,&nbsp;Petr Hejna","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Unlabelled: </strong>It is a well-known fact that after drinking the same amount of alcohol, women show more signs of the effects of alcohol than men of the same weight. It seems that the main factors responsible for sex differences in alcohol metabolism and influence are the relatively lower amount of body water related to body fat in women than men and lower gastric ADH activity in women, both of which enable women to reach higher BAC after drinking equivalent amounts of alcohol with men. On the other hand, first-pass metabolism of alcohol during passing through the liver is more rapid in women, probably due to bigger liver mass in women than in men. It is proven that alcohol and sex hormones have bilateral influence on each other. Women with more rapid alcohol elimination ability show higher levels of sex hormones in blood than the rest. It seems that the specific body constitution of the female organism as well as the unique combination of their sex hormones is responsible for the gender differences in alcohol influence.</p><p><strong>Keywords: </strong>alcohol metabolism - gender differences - gastric ADH - blood alcohol concentration.</p>","PeriodicalId":35533,"journal":{"name":"Soudni Lekarstvi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31673260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Signs of self-inflicted wounds; how accurate they are. 自残的痕迹;它们有多准确。
Soudni Lekarstvi Pub Date : 2013-07-01
Nasim Zamani
{"title":"Signs of self-inflicted wounds; how accurate they are.","authors":"Nasim Zamani","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Keywords: </strong>self-inflicted wounds - forensic - signs.</p>","PeriodicalId":35533,"journal":{"name":"Soudni Lekarstvi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31673179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Death due to Arrhythmogenic Right Ventricular Dysplasia: A case report. 致心律失常性右心室发育不良致死1例。
Soudni Lekarstvi Pub Date : 2013-07-01
Okan Akan, Selçuk Cetin, Bülent Eren, Dilek Durak, Nursel Türkmen, Umit Naci Gündoğmuş
{"title":"Death due to Arrhythmogenic Right Ventricular Dysplasia: A case report.","authors":"Okan Akan,&nbsp;Selçuk Cetin,&nbsp;Bülent Eren,&nbsp;Dilek Durak,&nbsp;Nursel Türkmen,&nbsp;Umit Naci Gündoğmuş","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Unlabelled: </strong>Arrhythmogenic right ventricular dysplasia (ARVD) is both a myocardial disease that predominantly affects the right ventricle (RV) and one of the major causes of sudden death in the young and athletes. A 28-year-old man with no signicant medical history, applied to an emergency department with feeling very ill. After his initial examinations, electrocardiography (ECG) showed ventricular extra systoles and he was recommended for admission to a cardiology polyclinic. The next day, his condition worsened and he was dead on arrival at the hospital. A histological examination of heart samples, which were obtained from the RV and LV, revealed the massive replacement of myocardium by fibrous and mature adipose tissue in the RV. In this case, there were no symptoms, family and medical history and its clinical presentation was as an unexpected sudden death.</p><p><strong>Keywords: </strong>Arrhythmogenic right ventricular dysplasia, sudden cardiac death, autopsy.</p>","PeriodicalId":35533,"journal":{"name":"Soudni Lekarstvi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31673261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Traumatic changes of intrathoracic organs due to external mechanical cardiopulmonary resuscitation. Case reports]. 体外机械心肺复苏后胸腔内脏器的外伤性改变。病例报告)。
Soudni Lekarstvi Pub Date : 2013-07-01
Miroslav Kůdela, Iva Grossová, Přemysl Strejc
{"title":"[Traumatic changes of intrathoracic organs due to external mechanical cardiopulmonary resuscitation. Case reports].","authors":"Miroslav Kůdela,&nbsp;Iva Grossová,&nbsp;Přemysl Strejc","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Unlabelled: </strong>External mechanical resuscitation systems were developed for continuous and effective chest compression with the goal to increase the probability of spontaneous blood circulation renew. We describe results of four autopsy cases, where the external mechanical resuscitation by system Lucas (n=3) and AutoPulse (n=1) was performed prior to death. In all the cases were found traumatic changes which are commonly described in various studies such as skin abrasions on the chest, multiple rib fractures, fracture of the sternum and hematoma in the mediastinum or pericardium. In addition to these usual traumatic changes accompanying mechanical cardiopulmonary resuscitation we have observed injuries of intrathoracic organs, mainly the contusions of the heart and contusions and laceration of the lungs. In addition to these changes were in one case, associated with prolonged AutoPulse resuscitation, found ruptures of intima of the right common carotid artery. These injuries, with few exceptions, are not commonly described even over much wider number of examined persons. Injuries of the abdominal organs in connection with mechanical resuscitation, as described in a few case reports, were not present. However in one case there was found contusion of myocardium due to the external resuscitation by the Lucas system with clinical manifestation of sudden coronary incident even though the cause of death was massive thrombotic embolism to pulmonary arteries. All reported cases were similar in the relatively long-lasting mechanic cardiopulmonary resuscitation and prolonged time of dying of the patients.</p><p><strong>Keywords: </strong>cardiopulmonary resuscitation - Lucas - AutoPulse - intrathoracic injury.</p>","PeriodicalId":35533,"journal":{"name":"Soudni Lekarstvi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31673177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sudden death due to high take-off right coronary artery. 右冠状动脉高起飞导致猝死。
Soudni Lekarstvi Pub Date : 2013-07-01
Bülent Eren, Nursel Türkmen, Umit Naci Gündoğmuş
{"title":"Sudden death due to high take-off right coronary artery.","authors":"Bülent Eren,&nbsp;Nursel Türkmen,&nbsp;Umit Naci Gündoğmuş","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Unlabelled: </strong>Reported case was 46-year-old woman found dead at the forest park rest area. Autopsy examination revealed grossly but normal in appearance heart weighed 400 gr. The orifice of right coronary artery round in shape was situated in the ascending aorta; 17 mm above the sinotubular junction, there was a high take-off coronary artery with ectopic localization. Dissection of the artery confirmed that the proximal segment of the right coronary artery passed between the aorta and pulmonary artery, with acute, oblique down-ward angulation. We aimed to present the rare coronary anomaly and discuss the case from medico legal aspect.</p><p><strong>Keywords: </strong>Sudden cardiac death - coronary artery - high take-off - ectopic - autopsy.</p>","PeriodicalId":35533,"journal":{"name":"Soudni Lekarstvi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31673178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An unusual case of firearm injury: bullet lodged in the tongue. 一个不寻常的枪伤案例:子弹卡在舌头里。
Soudni Lekarstvi Pub Date : 2013-04-01
Selçuk Cetin, Bülent Eren, Okan Akan, Nursel Türkmen, Murat Serdar Gürses, Umit Naci Gündoğmuş
{"title":"An unusual case of firearm injury: bullet lodged in the tongue.","authors":"Selçuk Cetin,&nbsp;Bülent Eren,&nbsp;Okan Akan,&nbsp;Nursel Türkmen,&nbsp;Murat Serdar Gürses,&nbsp;Umit Naci Gündoğmuş","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Firearm-related injuries are a major problem worldwide, in forensic medicine practice. and unusual presentation of bullet trajectory can create surgical or medico-legal diagnostic problems. A 23-year-old man suffered two gunshot wounds, was taken to emergency department immediately after the incident. Physical examination revealed two entrance gunshot wounds on the left lumbar region under the lower margin of left scapulae and right gluteal region. An exit wound was defined on the lateral side of the right gluteal region which was located 5 cm distance of entrance wound. Radiological investigation showed a bullet in the tongue without any life threatening impairment. A thoracic CT scan and abdominal USG were normal. Following the initial examinations he was hospitalized and the bullet removed from the tongue by a simple surgical operation. An interesting case of gunshot injury where the passage route of bullet extending along from upper posterior part of the left lumbar region to the tongue without vital organ injury or serious disability has been reported.</p>","PeriodicalId":35533,"journal":{"name":"Soudni Lekarstvi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31406030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An unusual case of penetrating intracranial injury due to scissors. 剪刀刺穿颅内损伤的罕见病例。
Soudni Lekarstvi Pub Date : 2013-04-01
Bülent Eren, Selçuk Cetin, Nursel Türkmen, Okan Akan, Murat Serdar Gürses, Umit Naci Gündoğmuş
{"title":"An unusual case of penetrating intracranial injury due to scissors.","authors":"Bülent Eren,&nbsp;Selçuk Cetin,&nbsp;Nursel Türkmen,&nbsp;Okan Akan,&nbsp;Murat Serdar Gürses,&nbsp;Umit Naci Gündoğmuş","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Craniocerebral penetrating non-missile injuries caused by metallic foreign bodies are uncommon events. Healthy 10 year-old boy applied to the hospital emergency service with his parents. Family members stated that the scissors have been stalled his head accidentally by his sister when they had played together. During physical examination the scissors located on left parietal region of the head was examined. There was no loss of consciousness and oriented with normal vital signs. Radiological investigation demonstrated a hyper dense foreign body (scissors) penetrating cranial cavity and ended before reaching posterior region of the left parietal lobe. To our knowledge, the presented was rare case of intracranial penetrating scissor, which was not removed until, injured, reached the hospital. Our goal was to discuss the rare case of penetrating non-missile foreign body cranial injury from medico legal aspect.</p>","PeriodicalId":35533,"journal":{"name":"Soudni Lekarstvi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31406029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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