A case report of suicidal cut-throat

Yıl 2017, Cilt: 31 Sayı: 3, 164 - 168, 01.12.2017

Ertuğrul Gök Recep Fedakar Naile Esra Saka

Öz

When sharp force injuries are on the anterior part of the neck, they are called cut-throat injuries. In these injuries, the origin is most frequently homicide, and generally there is only one deep cut. In cut-throats, the origin is rarely suicide or accident. In suicide, there are also hesitation cuts accompanying the cutting-edged implement wound, which is the cause of death. Our case is a 47-year-old male who was found dead at home. A fatal cutting-edged implement wound on the anterior part of the neck and accompanying hesitation cuts were observed in our case on autopsy examination. No toxic substance was determined at chemical analysis of specimens taken from the body. Cause of death was reported as lacerations to the pharynx, epiglottis, thyroid and deep muscle groups of the neck organs associated with a sharp force injuries external bleeding related to major neck muscles and resulting respiratory failure. According to the judicial investigation file, the subject drank alcohol since his high school years, he had attempted to commit suicide two years ago by cutting wrists of both hands and had paranoid thoughts such as being followed by people after him for the last 2 years, but did not receive any psychiatric treatment. This case is reported as of interest due to its origin.

Anahtar Kelimeler

Cut-throat, suicide, autopsy

Boğazlama ile intihar olgusu

Öz

Kesici alet yaraları boyun ön kısmında bulunduğunda boğazlama olarak adlandırılır. Bu yaralarda orijin sıklıkla cinayettir ve genellikle tek ve derin kesik bulunmaktadır. Boğazlamada seyrek de olsa orijin intihardır ya da kazadır. İntiharda ölüme neden olan kesici alet yarasına genellikle tereddüt kesileri eşlik ederler. Olgumuz, evinde ölü bulunan 47 yaşındaki erkektir. Olgumuzun otopsi incelemesinde, kişide boyun ön yüzde 1 adet öldürücü nitelikte kesici delici alet yarası ile buna eşlik eden tereddüt kesileri saptandı. Cesetten alınan örneklerin kimyasal analizlerinde herhangi bir madde saptanmadı. Kişinin ölümünün kesici delici alet yaralanmalarına bağlı boyun organlarından farenks, epiglot, troid ve derin adale grupları tam kat kesileri ile birlikte, boyun büyük damarları kesilerine bağlı dış kanama ve solunum yetmezliği sonucu meydana geldiği rapor edildi. Adli tahkikat dosyasına göre lise yıllarından beri alkol kullanıcısı olduğu, 2 yıl önce her iki el bileğini yaralama ile intihar girişiminde bulunmuş olduğu ve son 2 yıldır peşinde birilerinin olduğu, kendisini takip ettikleri gibi paranoid düşüncelere sahip olduğu ancak psikiyatrik tedavi görmediği kayıtlıdır. Bu olgu, orijin açısından ilginç bulunması nedeniyle sunuldu.

Anahtar Kelimeler

Boğazlama, intihar, otopsi

Kaynakça

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