RESUMO
In a recently published article, Andrea Porzionato et al, they expose the relevance of Forensic Clinical Anatomy as a tool in judicial strata when there are medical-legal implications for suspected child abuse and the presence of anatomical variants and traumatic injuries that at any given time are difficult to differentiate. A case is reported where the careful dissection of a minor's body reveals a congenital malformation of the genital-urinary tract that causes repeated urinary tract infections resulting in sepsis and death, based on this description and the context of death is determined that death is associated with child abuse from lack of medical attention.
En un artículo de reciente publicación, Andrea Porzionato et al, exponen la relevancia de la Anatomía Clínica Forense como herramienta en estratos judiciales cuando existen implicaciones médico-legales por sospecha de maltrato infantil y la presencia de variantes anatómicas y lesiones traumáticas que en un momento dado son difíciles de diferenciar. Se reporta un caso donde la cuidadosa disección del cuerpo de un menor revela una malformación congénita del tracto genital-urinario que ocasiona infecciones repetidas del tracto urinario resultando en sepsis y muerte, con base en esta descripción y se determina el contexto de muerte la cual está asociada con abuso infantil por falta de atención médica.
Assuntos
Humanos , Criança , Anormalidades Urogenitais , Maus-Tratos Infantis , Ciências Forenses , HemangiomaRESUMO
We report the case of an 86-year-old adult man who, as a pedestrian, is hit by a motorcycle, suffering polytrauma; in initial care, he refers to thoraco-abdominal pain and subsequently neurological deterioration. Assessed by a neurosurgeon and general surgeon, a right chest tube is placed and a laparoscopy is performed where there is little bleeding from the abdominal cavity. It shows deterioration of its general state and dies in respiratory failure. During the necropsy procedure there is subarachnoid hemorrhage and cerebral herniation, rib fractures and pneumonic consolidation, a massive retroperitoneal hematoma is observed due to rupture of simple renal cyst.
Reportamos el caso de un hombre de 86 años que, siendo peatón, es atropellado por una motocicleta, sufriendo politraumatismo. En la atención inicial refiere a dolor toracoabdominal y posteriormente deterioro neurológico. Evaluado por un neurocirujano y un cirujano general, se coloca un tubo torácico derecho y se realiza una laparoscopia y observándose poco sangrado de la cavidad abdominal. El paciente muestra deterioro de su estado general y muere por insuficiencia respiratoria. Durante el procedimiento de necropsia se determina hemorragia subaracnoidea y hernia cerebral, fracturas costales y consolidación neumónica, se observa un hematoma retroperitoneal masivo por rotura de quiste renal simple.
Assuntos
Humanos , Masculino , Idoso de 80 Anos ou mais , Ruptura Espontânea , Rim/lesões , Nefropatias/complicações , Espaço RetroperitonealRESUMO
Two cases of anatomical variations of the thymus are presented with respect to the anatomical relations with the left brachiocephalic vein and found during the necropsy process. Less than 2 days after birth with Noonan Syndrome, when the left brachiocephalic vein was scanning behind the upper thymus horns, there were other adjacent lesions consisting of three supernumerary spleens and three hepatic veins. The second case was an 8-year-old infant with child malpractice who died from urinary sepsis due to obstructive uropathy, in which case the upper lobes of the thymus were fused and formed a ring through which the left brachiocephalic vein passed.