Yıldıray ZEYFEOĞLU, Ertuğrul TATLISUMAK, Mahmut ASIRDIZER, M.Sunay YAVUZ

Case report: The evaluation of a complex medico-legal case with syncope, diffuse subcutaneous emphsema, bilateral pneumothorax, and eustachian valve

Bir yaralanma meydana geldiğinde onun nedeninin tanımlamak medikal araştırıcıların en önemli görevlerinden biridir. Bir yaralanma çocuk istismarı gibi bir şiddet, ev kazaları gibi bir kaza, yüksekten atlamalar gibi bir intihar teşebbüsüne bağlı olabileceği gibi bir hastalığı da izleyebilir. Keza iatrojenik olarak da meydana gelebilir. Mediko legal tanı gelişimi her zaman kolay değildir, özellikle çocuk bir kurbansa. Ananez ve çocuk ve ailesinin davranışlarının gözlenmesi çok önemli olsa da teşhis için daima yeterli değildir. Bu makalede sunulan olgu 9 yaşında bir erkek çocuktur. O evinin banyosunda bayıldıktan sonra Manisa Devlet Hastanesi1 nde yatırılmıştır. Hastane girişinde, bilinçsiz, TA: 180/110 mmHg, nabız 180/dakika, solunumu yüzeyel olarak saptanmış ve kafada, sağ frontal bölgede 2 cm çaplı dairevi sıyrık tanımlanmıştı. Olgu endotrakeal entübasyon sonrasında Celal Bayar üniversitesi Hastanesi1 ne sevkedilmişti. Üniversite hastanesi'nde senkop, boynunda, göğsünde ve karnında yaygın cilt altı amfizemi, bilateral pnömotoraks teşhis edilmişti. Ekokardiografide Östakian Valf saptandı. Hasta taburcu edildikten sonra adli rapor düzenlenmek üzere Adli Tıp Anabilim dalı'na gönderildi.Sunulan makalede östakian valfı,yaygın cilt altı amfizemi ve bilateral pnömotorakslı bir olgunun mediko legal değerlendirilmesini ve tarvam,hastalık,medical malpraktis veya komplikasyon arasındaki klinik görüşler arasında esas sebebin medikol legal tanısındaki zorlukları sunmaktayız.

Senkop, yaygın subkutan amfizem, bilateral pnömotoraks ve östakian valf bulunan karmaşık bir mediko-legal olgunun değerlendirilmesi: Olgu sunumu

One of the most important duties of a medical examiner is to define its cause when an injury occurred. An injury may occur due to violence e.g. child abuse, accidents e.g. home accidents, attempts to suicide e.g. jumping, or it may follow an illness. Even it may occur iatrogenically. The process of medico-legal diagnosis is not easy every time, especially if the victim is a child. The anamnesis and the observation of the behaviors of,children and parents are very important but not always sufficient for diagnosis. The case submitted in this report is a nine year old male child. He was hospitalized in the State Hospital after fainted in the bathroom of his house. During the entrance of Manisa State Hospital, he was unconscious, his arterial blood pressure was 180/110 mmHg, his arterial pulsation rate was 180/minute, his respiration was shallow and there was a circular abrasion with 2 cm diameter on the right frontal region of his head. He was transferred to Celal Bayar University Hospital after endotracheal intubation. Syncope, diffuse subcutaneous emphysema on his neck, thorax and abdomen and bilateral pneumothorax was diagnosed at University Hospital. Eustachian valve was detected during echocardiography. He was sent to Forensic Medicine Department of University Hospital for the preparation of his medico-legal report after he was discharged. In this report, we submitted the medico-legal evaluation of a case with eustachian valve, diffuse subcutaneous emphysema and bilateral pneumothorax and difficulties during medico-legal diagnosis as the major cause of the clinical aspects among trauma, illness, medical malpractice or complication.

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ISSN: 1018-5275
Başlangıç: 1985
Yayıncı: BAYT Yayıncılık

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