The Significance of Subendocardial Hemorrhages Detected in Forensic Autopsies

  • Nursel Türkmen İnanır Uludağ University Medical Faculty, Forensic Medicine Department, Bursa, Turkey. Council of Forensic Medicine of Turkey, Bursa Morgue Department, Bursa, Turkey.
  • Selçuk Çetin Uludağ University Medical Faculty, Forensic Medicine Department, Bursa, Turkey.
  • Filiz Eren Council of Forensic Medicine of Turkey, Bursa Morgue Department, Bursa, Turkey.
  • Bülent Eren Council of Forensic Medicine of Turkey, Bursa Morgue Department, Bursa, Turkey.
Keywords: Autopsy, Death, Subendocardial Hemorrhages

Abstract

Introduction:In our study, our aim was to reveal the relationship between subendocardial hemorrhage (SEH)  which can be seen macroscopically immediately beneath the endocardium, and emerge secondary to many conditions from direct cardiac,  head, and abdominal traumas to hyperemia, and its location with cause of death, its diagnostic value (if any), and whether it can be evaluated as a vital finding.

Material and Method :285 autopsy cases diagnosed as SEH which were brought to the Group Presidency of Morgue Specialization Department of the State Institute of Forensic Medicine of Bursa  were included in the study

Results: Study population consisted of 229 (80.4 %) male, and 56 (19.6 %) female patients. Thity-one cases of death were related to natural causes, while the most frequently detected pathological causes of death were isolated abdominal traumas (32.9 %), followed by isolated head traumas (31.9 %).  While traffic accidents ranked first (35.1%) among the events leading to death. Among evaluated cases, SEH was mostly located on septum.

Discussion: To fully understand the yet inadequately elucidated pathogenic mechanisms  of SEH , it should be accurately defined by histopathological analysis. Even though various causes of death seen  in association with these lesions suggest more than one underlying pathogenic mechanism, because of their nonspecific characteristics, their possible roles as indicators of vitality (if any) should be reinforced  by further studies.

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Published
2015-06-29
How to Cite
1.
İnanır N, Çetin S, Eren F, Eren B. The Significance of Subendocardial Hemorrhages Detected in Forensic Autopsies. ZdravVestn [Internet]. 29Jun.2015 [cited 27Jun.2019];84(5). Available from: https://vestnik.szd.si/index.php/ZdravVest/article/view/1204
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Original article