Deaths Related to Vessel Injuries in Extremities
DOI:
https://doi.org/10.17986/blm.200383519Keywords:
vascular injuries, extremity, forensic autopsyAbstract
Lethal or non-lethal extremity injuries are often seen in medico-legal practice. In this study, we planned to investigate medico-legal properties of deaths related to vessel injuries in extremities. In forensic autopsies performed in Bursa, we examined total 4242 autopsy reports between 1996-2003 in included 40 (0,94%) cases of deaths caused by vessel injuries in extremities. 90% of cases were male with median age 35.87 (17-66). Stabbing device account for 60% of injuries. Most frequent injuries were in femoral artery and branches. In 82.5% of cases, homicide was the origin of death. In 30% of cases, mean 159.33 mg/dl alcohol blood concentration was detected. In the scene investigation reports, 47.5% of documented incidents were outdoor and 47.5% of the cases died in the scene. As a conclusion, it is observed that alcoholic males of middle age are the risk group for vascular injuries in extremities. In the deaths related to isolated vessel injuries in extremities, the detection of injured vessel, localisation and number of total and lethal wounds would offer a solution for the evil intent; and as in the other violent death cases autopsy is required in the deaths due to vessel injuries in extremities.
Key words: Vascular injuries, Extremity, Forensic autopsy.
Downloads
References
Çetin G, Yavuz MF, Azmak D, Birincioğlu I. Ekstremite damarlarının yaralanmasına bağlı ölümler. I. Adli Bilimler Kongresi Poster sunuları kitabı 12-15 Nisan 1994; 259-261.
Durak D. Adli otopsi olgularında femoral arter yaralanması. P.A.Ü.T.F. Dergisi 1999;5:65-7.
Durak D, Durak K, Çoltu A. Damar yaralanmasma bağlı ölüm olgularmm değerlendirilmesi. Göztepe Tıp Derg 1995;12:178-9.
Ertürk S, Ege B, Karali H. Adli otopsisi yapılan 94 damar yaralanması olgusunun retrospektif incelenmesi. Adli Tıp Derg 1990;6:181-6.
Saym A, Özer M, Karaözbek Y, Erdağ A, Aktan K, Tü- zün H. Damar yaralanmaları: 208 olgunun değerlendirilmesi. Adli Tıp Derg 1987;3:34-44.
Gören S, Tıraşçı Y. Ekstremite damarlarının yaralanmasma bağh ölümlerin retrospektif olarak değerlendirilmesi. Adli Tıp Bülteni 2000;5(2):112-3.
Kolusaym Ö, Çöloğlu AS. Kalp damar cerrahisindeki teknik gelişmelerin adli tıp uygulamalarındaki yeri ve önemi. Adli Tıp Derg 1988;4:73-8.
Gören S, Subaşı M, Çakır Ö, Tıraşçı Y. Periferik damar yaralanmalarına bağlı ölümler. Adli Bilimler Derg 2004;3(2):59-63.
Cargile JS, Hunt JL, Purdue GF. Acute trauma of femoral artery and vein. The Journal of Trauma 1992;32:364-71. DOI: https://doi.org/10.1097/00005373-199203000-00015
Dokgöz H, Yanık A, Yılmaz R, Öztürk O. Travmatik damar yaralanmalarının adli tıp açısından değerlendirilmesi. 10. Ulusal Adli Tıp Günleri Kitabı, 8-12 Ekim Antalya, 2003; 230-3.
Kanko M, Öztop C. Travmatik damar yaralanmaları. Ulusal Travma Derg 1999;5(2):106-10.
Guraya SY. Extremity vascular trauma in Pakistan. Saudi Med J 2004;25(4):498-501.
Cihan HB, Gülcan Ö, Hazar A, Türköz R. Periferik damar yaralanmaları. Ulusal Travma Dergisi 2001;7(2):113-6.
Özkökeli M, Günay R, Kayacıoğlu İ, Sarıkaya S, Yazar M, Akçar M. Periferik damar yaralanmaları. GKDC Derg 1998;6:249-53.
Razmadze A. Vascular injuries of the limbs: a fifteen-year Georgian experience. Eur J Endovasc Surg 1999;18: 235-239. DOI: https://doi.org/10.1053/ejvs.1999.0857
Hafez HM, Woolgar J, Robbs JV. Lower extremity arterial: Results of 550 cases and review of risk ractors associated with hmb loss. Journal of Vascular Surgery 2000;33(6): 1212-9. DOI: https://doi.org/10.1067/mva.2001.113982
Topal AE, Özçelik C. Ust ekstremite arter yaralanmalarının özellikleri. Dicle Tıp Derg 2004;31(1):55-7.
Downloads
Published
Issue
Section
License
The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.
