Kesici delici alet yaraları bulunan ası olgusu: Orijin değerlendirilmesi
Küçük Resim Yok
Tarih
2008
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Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Kesici delici alet yaralanması (KDAY)’na bağlı ölümler sıklıkla cinayet, daha nadir olarak da intihar ve kaza orijiniyle karşımıza çıkmaktadır. Ası olgularının ise %95’ten fazlası intihar orijinlidir. Literatürde KDAY, künt travma, ateşli silah yaralanması gibi farklı yöntemlerin aynı olguda bulunduğu cinayet, intihar veya kaza orijinli ası olgularına rastlanmaktadır. Yazıda, cesedi ormanda ağaca eşarpla yarım ası pozisyonunda asılı bulunan, otopsisinde karın bölgesinde toplam 13 adet kesici-delici alet (KDA) yarası saptanan 25 yaşlarında bir kadın olgu sunuldu. Olgunun boyun bölgesinde, sol yandan başlayıp, ön ve her iki yan kısmında arkaya doğru hafif yükselen vasıfta devam eden, ense her iki yanda sonlanan, kenarlarında ekimotik hatlar bulunan telem ile her iki memede diş arkı ile uyumlu, çevresi hiperemik ekimoz dikkati çekti. İç muayenede tiroid kıkırdak çevresindeki boyun yumuşak dokularında 0,5 cm.lik hematom tespit edildi. Batın boşluğunda 1100 cc kısmen koagüle kan ile karaciğer, mide, bağırsak ve mezoda yaralanma, abdominal aort duvarında tam kat kesi gözlendi. Toksikolojik incelemede aranan maddelerden hiçbiri bulunamadı. Tırnaklar ve sağ memedeki ısırık izinden alınan örneklerde yapılan incelemede erkek cinsiyetine ait Y-STR DNA profilleri saptandı. Yazıda olgunun adli-tıbbi bulguları, literatür verileri ile karşılaştırılarak, orijin yaklaşımı yönünden değerlendirildi.
For the deaths caused by stab wounds, most frequent origin is homicide whereas suicidal and accidental origin are seen more rare . More than 95% of all hanging cases are suicidal. Some suicidal, homicidal or accidental hanging cases can be observed in literature, which the stab wounds , blunt trauma, firearm wounds etc. methods were used together with it in the same cases. In this paper, an approximately 25-year-old woman case, who was found as half hanged to a tree with a scarf in the forest, was presented. Total 13 stab wounds were determined on abdominal region of the case at autopsy. There was a ligature mark on the neck with ecchymosis on both borders, starting on the left region of neck, rising up slightly at the front and both lateral sides, ending at the back of the neck. The hematoma with 0,5 cm diameter was observed in the soft tissues around the thyroid cartilage.1100 cc partially coagulated blood in the abdominal cavity, wounds on the liver, stomach, intestine and mesocolon, total cut on the wall of the abdominal aorta were determined. Toxicological analysis was negative. In the DNA analysis, which had been studied on the specimens obtained from fingernails and bite mark on the right breast, Y-STR DNA profile with male gender was detected. Legal-medical findings of this case were evaluated comparatively with similar studies on the literature according to origin.
For the deaths caused by stab wounds, most frequent origin is homicide whereas suicidal and accidental origin are seen more rare . More than 95% of all hanging cases are suicidal. Some suicidal, homicidal or accidental hanging cases can be observed in literature, which the stab wounds , blunt trauma, firearm wounds etc. methods were used together with it in the same cases. In this paper, an approximately 25-year-old woman case, who was found as half hanged to a tree with a scarf in the forest, was presented. Total 13 stab wounds were determined on abdominal region of the case at autopsy. There was a ligature mark on the neck with ecchymosis on both borders, starting on the left region of neck, rising up slightly at the front and both lateral sides, ending at the back of the neck. The hematoma with 0,5 cm diameter was observed in the soft tissues around the thyroid cartilage.1100 cc partially coagulated blood in the abdominal cavity, wounds on the liver, stomach, intestine and mesocolon, total cut on the wall of the abdominal aorta were determined. Toxicological analysis was negative. In the DNA analysis, which had been studied on the specimens obtained from fingernails and bite mark on the right breast, Y-STR DNA profile with male gender was detected. Legal-medical findings of this case were evaluated comparatively with similar studies on the literature according to origin.
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Cilt
7
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4
