Deaths Related to Vessel Injuries in Extremities
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.
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.
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.
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.
Topal AE, Özçelik C. Ust ekstremite arter yaralanmalarının özellikleri. Dicle Tıp Derg 2004;31(1):55-7.
The Bulletin of Legal Medicine is an open access scientific journal. Open access means that all content is freely available without charge to the user or his/her institution on the principle that making research freely available to the public supports a greater global exchange of knowledge. The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access.
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.
The Bulletin of Legal Medicine requires the author as the rights holder to sign and submit the journal's agreement form prior to acceptance. The authors retain copyright of their work and grant the Association for its publication. This ensures both that The Journal has the right to publish the article and that the author has confirmed various things including that it is their original work and that it is based on valid research.
Authors who publish with this journal agree to the following terms:
*Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
*Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
*Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.