Case Report
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Aortic Dissection As the Cause of Death in a Patient Treated According to the Pre-Diagnosis of Poisoning: A Case Report

Year 2021, Volume: 5 Issue: 2, 165 - 168, 25.08.2021
https://doi.org/10.46332/aemj.743177

Abstract

Sudden unexpected deaths constitute a large part of the daily work of forensic medicine, and these deaths are mostly caused by cardiovascular system disorders. Poisoning is also considered among the causes of sudden unexpected death. Every poisoning case should be considered as a forensic case, and the cause of death should be investigated. In this study, the patient who was admitted to the emergency department with a history of endosulphan poisoning could not be saved despite all medical interventions for intoxication. We present a case whose cause of death was found to be pericardial tamponade caused by aortic dissection at autopsy. The aim of this study, presented by the case, is to draw attention to the negative consequences of the biased diagnostic approach in patients admitted to the emergency department and to increase awareness. It is pointed out that the diagnosis should be made after a detailed physical examination, appropriate laboratory and radiological examinations.

References

  • 1. Basso C, Aguilera B, Banner J et al. Guidelines for autopsy investigation of sudden cardiac death:2017 update from the Association for European Cardiovascular Pathology. Virchows Archiv. 2017;471(6):691-705.
  • 2. Sherwin ED, Berul CI. Sudden Cardiac Death in Children and Adolescents. Cardiac Electrophysiology Clinics. 2017;9(4):569-579.
  • 3. Koç S, Çetin G, Kolusayın Ö, Sarı H. Adli otopsilerde saptanan patolojik nitelikteki ölümler.1. Adli Bilimler Kongresi. Kongre kitabı. Adana 1994:242-244.
  • 4. Dimaio V, Dimaio D. Death Due to Natural Disease. In: Forensic Pathology. 2nd. Edition. Washington; 2001:57-58.
  • 5. Basso C, Corrado D, Thiene G. Cardiovascular causes of sudden death in young individuals including athletes. Cardiol Rev. 1999;7(3):127-135.
  • 6. Yağmur F, Din H, Özbek A, Kaya M. Sudden Death Due To Rupture Of Dissection Of The Aorta: Three Cases. Duzce Med J. 2010;12(3):68-71.
  • 7. Tuğcu H, Öngürü Ö, Özaslan A, Ulukan MÖ, Celasun B. A Case of Sudden Death Due to Rupture of Dissecting Aortic Aneurysm, Gulhane Med J. 2003;45(4):371-375.
  • 8. Shkrum MJ, Ramsay DA. The Complete autopsy, the management of risk, in Shkrum MJ, Ramsay DA. Forensic Pathology of Trauma. New Jersey: Humana Press Inc; 2007:1-22.
  • 9. Nashelsky MB, Lawrence CH. Accuracy of cause of death determination without forensic autopsy examination. Am J Forensic Med Pathol. 2003;24(4):313-319.

Zehirlenme Ön Tanısıyla Müdahale Edilen Olguda Ölüm Sebebi Olarak Aort Diseksiyonu: Olgu Sunumu

Year 2021, Volume: 5 Issue: 2, 165 - 168, 25.08.2021
https://doi.org/10.46332/aemj.743177

Abstract

Ani beklenmedik ölümler adli tıp günlük çalışmalarının büyük bir bölümünü oluşturmakta ve çoğunlukla kardiyovasküler sistem bozukluklarından kaynaklanmaktadır. Zehirlenmeler de ani beklenmedik ölüm sebepleri arasında sayılmaktadır. Her zehirlenme vakası adli vaka olarak kabul edilmeli ve ölüm nedeni araştırılmalıdır. Çalışmamızda acil servise endosülfan zehirlenmesi öyküsü ile başvuran olgu, zehirlenmeye yönelik yapılan tüm tıbbi müdahalelere rağmen kurtarılamamıştır. Yapılan otopside ölüm nedeni aort diseksiyonunun neden olduğu perikardiyal tamponat olarak saptanan olguyu sunuyoruz. Olgu üzerinden sunulan bu çalışmanın amacı, acil servise başvuran hastalarda önyargılı tanı yaklaşımının olumsuz sonuçlarına dikkat çekilmesi ve farkındalığın artırılmasıdır. Tanıya ayrıntılı fizik muayene, uygun laboratuvar ve radyolojik incelemeler sonrasında karar verilmesi gerektiğine dikkat çekilmektedir. 

References

  • 1. Basso C, Aguilera B, Banner J et al. Guidelines for autopsy investigation of sudden cardiac death:2017 update from the Association for European Cardiovascular Pathology. Virchows Archiv. 2017;471(6):691-705.
  • 2. Sherwin ED, Berul CI. Sudden Cardiac Death in Children and Adolescents. Cardiac Electrophysiology Clinics. 2017;9(4):569-579.
  • 3. Koç S, Çetin G, Kolusayın Ö, Sarı H. Adli otopsilerde saptanan patolojik nitelikteki ölümler.1. Adli Bilimler Kongresi. Kongre kitabı. Adana 1994:242-244.
  • 4. Dimaio V, Dimaio D. Death Due to Natural Disease. In: Forensic Pathology. 2nd. Edition. Washington; 2001:57-58.
  • 5. Basso C, Corrado D, Thiene G. Cardiovascular causes of sudden death in young individuals including athletes. Cardiol Rev. 1999;7(3):127-135.
  • 6. Yağmur F, Din H, Özbek A, Kaya M. Sudden Death Due To Rupture Of Dissection Of The Aorta: Three Cases. Duzce Med J. 2010;12(3):68-71.
  • 7. Tuğcu H, Öngürü Ö, Özaslan A, Ulukan MÖ, Celasun B. A Case of Sudden Death Due to Rupture of Dissecting Aortic Aneurysm, Gulhane Med J. 2003;45(4):371-375.
  • 8. Shkrum MJ, Ramsay DA. The Complete autopsy, the management of risk, in Shkrum MJ, Ramsay DA. Forensic Pathology of Trauma. New Jersey: Humana Press Inc; 2007:1-22.
  • 9. Nashelsky MB, Lawrence CH. Accuracy of cause of death determination without forensic autopsy examination. Am J Forensic Med Pathol. 2003;24(4):313-319.
There are 9 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Reports
Authors

Özgenur Köken Tok 0000-0001-9365-174X

Kenan Kaya 0000-0002-4157-2262

Ebubekir Çelik 0000-0001-5733-8190

Mete Korkut Gülmen 0000-0002-8729-507X

Publication Date August 25, 2021
Published in Issue Year 2021 Volume: 5 Issue: 2

Cite

APA Köken Tok, Ö., Kaya, K., Çelik, E., Gülmen, M. K. (2021). Aortic Dissection As the Cause of Death in a Patient Treated According to the Pre-Diagnosis of Poisoning: A Case Report. Ahi Evran Medical Journal, 5(2), 165-168. https://doi.org/10.46332/aemj.743177
AMA Köken Tok Ö, Kaya K, Çelik E, Gülmen MK. Aortic Dissection As the Cause of Death in a Patient Treated According to the Pre-Diagnosis of Poisoning: A Case Report. Ahi Evran Med J. August 2021;5(2):165-168. doi:10.46332/aemj.743177
Chicago Köken Tok, Özgenur, Kenan Kaya, Ebubekir Çelik, and Mete Korkut Gülmen. “Aortic Dissection As the Cause of Death in a Patient Treated According to the Pre-Diagnosis of Poisoning: A Case Report”. Ahi Evran Medical Journal 5, no. 2 (August 2021): 165-68. https://doi.org/10.46332/aemj.743177.
EndNote Köken Tok Ö, Kaya K, Çelik E, Gülmen MK (August 1, 2021) Aortic Dissection As the Cause of Death in a Patient Treated According to the Pre-Diagnosis of Poisoning: A Case Report. Ahi Evran Medical Journal 5 2 165–168.
IEEE Ö. Köken Tok, K. Kaya, E. Çelik, and M. K. Gülmen, “Aortic Dissection As the Cause of Death in a Patient Treated According to the Pre-Diagnosis of Poisoning: A Case Report”, Ahi Evran Med J, vol. 5, no. 2, pp. 165–168, 2021, doi: 10.46332/aemj.743177.
ISNAD Köken Tok, Özgenur et al. “Aortic Dissection As the Cause of Death in a Patient Treated According to the Pre-Diagnosis of Poisoning: A Case Report”. Ahi Evran Medical Journal 5/2 (August 2021), 165-168. https://doi.org/10.46332/aemj.743177.
JAMA Köken Tok Ö, Kaya K, Çelik E, Gülmen MK. Aortic Dissection As the Cause of Death in a Patient Treated According to the Pre-Diagnosis of Poisoning: A Case Report. Ahi Evran Med J. 2021;5:165–168.
MLA Köken Tok, Özgenur et al. “Aortic Dissection As the Cause of Death in a Patient Treated According to the Pre-Diagnosis of Poisoning: A Case Report”. Ahi Evran Medical Journal, vol. 5, no. 2, 2021, pp. 165-8, doi:10.46332/aemj.743177.
Vancouver Köken Tok Ö, Kaya K, Çelik E, Gülmen MK. Aortic Dissection As the Cause of Death in a Patient Treated According to the Pre-Diagnosis of Poisoning: A Case Report. Ahi Evran Med J. 2021;5(2):165-8.

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