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Prevalence of subendocardial hemorrhage in more than 1000 medico legal autopsies
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Abstract: (31514 Views) |
| Background & Aim: Subendocard bleeding is one of significant findings during autopsy which its form with limited bleeding edge specified in the left ventricle subendocard will be visible as macroscopic. Subendocardial hemorrhage are found after intracranial hemorrhage following injury due to trauma, suddenly hypotension following any bleeding problems, obstetric complication, toxic poisoning particularly with iron, arsenic, cocaine and cerebral hemorrhage strokes. View this bleeding during autopsy, indirectly shows the possibility of one of the mentaioned cases in corpses and, will cause more the doctor's carefully considered examination of corpses. we decided to do a two-month cross-sectional study, in order to consider prevalence and factors associated with the hemorrhagic.
Materials & Methods: During the investigations, 1224 body referred to forensic dissection hall of Tehran Legal Medicine Center to determine the cause of death, the bodies were examined by autopsy. After having done the autopsies, forensic medicine specialists and staff wrote the reports and collected the information and prepared them by using a questionnaire, and then analyzed them.
Findings: Among the study, 1224 dead bodies examined by autopsy. In 79 cases (16.5% of them examined by autopsy) were found bleeding of subendocard. 66 patients (83.5%) of them were male and 13 (16.5%) females that age group between 26 to 30 years with 25 cases (31.6%) had the highest frequency. In 55.7% of the cranial trauma, in 36.7% multiple trauma, in 5.1% heavy bleeding, in 2.5% cardiovascular events and intracranial hemorrhage following vascular brain lesions were the cause of death. In 2.5% of the following bodies that have subendocard bleeding, death was non-traumatic, and in 97.5% death was traumatic. In 35 cases (44.8%), physical injuries and damages, were along with cranial injuries and in 15 cases (19%) physical injuries and damages were without along injuries of skull.
Conclusion: This study showed that subendocardial hemorrhage often can be seen in severe trauma resulted to the death. View this bleeding in heart when reviewing during autopsy strongly suggest the probability of traumatic injuries in skull or other parts of body that it is necessary to considered. |
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| Keywords: Subendocardial hemorrhage, Head trauma, Multiple injuries, Autopsy |
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Type of Article: Research Article |
Subject:
Forensic Medicine
Received: 2010/08/9 | Accepted: 2020/06/10 | ePublished: 2020/06/10
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