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ISSN 1684-1824 (Electronic)

2015, Number 3

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Rev Méd Electrón 2015; 37 (3)

Defenestration. Presentation of a case

Villalonga CL, Bayona SDR, Estupiñán RN

Language: Spanish
References: 18
Page: 272-278
PDF size: 49.89 Kb.


ABSTRACT

Cases having accidents in their most diverse variants as a main cause of death are frequently presented in the Provincial Service of Legal Medicine. In the present article, we expose an uncommon case of accident ending in the victim’s death. It is the case of an elder man, aged 73 years who, according to the data given by the police instruction, was holding up a window in his work center when felt from a height of around 6 meters. He was carried out to the Provincial Teaching Clinicalsurgical Hospital Jose Ramón López Tabrane, of Matanzas, and entered the Surgical Service with a polytrauma diagnosis. According to the clinical record, he was conscious when arrived and referred diffuse abdominal pain. An abdominal ultrasound image was taken, finding fluid in the abdominal cavity; the left kidney was not found. An emergency surgical treatment was decided, carrying out an exploratory laparotomy and finding 4 000 cc of hemoperitoneum, several tears in the liver right lobule and the right kidney. An hepatectomy and nephrectomy were made, in common evaluation with the Angiology Service, due to the presence of lesions in the great blood vessels. The inferior vena cava and the right renal vena were sutured due to the presence of tears. He was carried out to the Intensive Care Service, and there he had a cardiorespiratory arrest; he died at 11:00 pm.


REFERENCES

  1. Rodríguez Prieto JM. Diccionario Terminológico de Ciencias Médicas. La Habana: Editorial Científico-Técnica; 1984.

  2. Pacios Alfonso N, Salazar Casanova H. Accidentes en el hogar. Rev. Cubana Med Gen Integr [Internet]. 1999 [citado 23 Mar 2015] mar-abr;15(2). Disponible en: http://scielo.sld.cu/scielo.php?pid=S0864-21251999000200003&script=sci_arttext

  3. Calabuig G. Tratado de Medicina Legal y Toxicología. 6ta ed. España: Editorial Masson; 2004.

  4. Lancís y Sánchez F, Fournier Ruiz IG, Ponce Zerquera F, González Pérez J, Valdés Carrera LS, Pons Rojas M. Medicina legal. La Habana: Editorial Pueblo y Educación; 1999.

  5. González Pérez J, Basata Montesino AM, Montalvo Vidal E, Lleó Jiménez G, Suárez Mella R, Pérez González E. Temas de medicina legal para estudiantes de Derecho. La Habana: Editorial Félix Varela; 2004.

  6. Achaval A. Manual de Medicina Legal. Práctica Forense. 4ta ed. Buenos Aires: Editorial Abeledo-Perrot; 1994.

  7. Mozayani A, Moziglia C. The Forensic Laboratory Handbook. Procedures and Practice. 1ra ed. Totowa, New Jersey: Edited by Humana Press; 2004.

  8. Correa Illanes G, Finkelstein J. La lesión medular en el trabajo: un desafío para su prevención. Bol Cient Asoc Chil Segur. 2000;2(3):11-6. Citado en LILACS; Id: 318080.

  9. Guerra Astudillo GM, Guerrero Lojano DA. Características del trauma encéfalo craneal en el área de emergencia del Hospital Vicente Corral Moscoso entre los meses de octubre del 2011 a mayo del 2012 [tesis para obtener el título de Médico]. Cuenca, Ecuador: Universidad de Cuenca; 2014.

  10. Sánchez MA. Siete cuestiones para divulgar y comprender aspectos de la caída libre. Lat Am Phys Educ. 2011;5(3):623.

  11. Enciso Urrego LF, Pacheco DC, Rivera DC, Guerrero Useda ME. Análisis de factores de riesgo en trabajadores de ladrilleros de Ubaté. IIEC [Internet]. 2014 [citado 23 Mar 2015];3(2):5-10. Disponible en: http://cideaproyectos.com/pkp/index.php/pkp/article/view/1

  12. Al B, Yildirim C, Coban S. Falls from heights in and around the city of Batman. Ulus Travma Acil Cerrahi Derg. 2009 Mar;15(2):141-7. Citado en PubMed; PMID: 19353316.

  13. López Álvarez JM, Valderón Lemaur ME, Pérez Quevedo O, Limiñana Cañal JM, Jiménez Bravo de Laguna A, Consuegra Llapurt E, et al. Traumatismo craneoencefálico pediátrico grave (I). Epidemiología, clínica y evolución. Med Intensiva [Internet]. 2011 [citado 23 Mar 2015];35(6):331-6. Disponible en: http://www.medintensiva.org/es/traumatismo-craneoencefalico-pediatrico-grave-i- /articulo/S0210569111000477/

  14. Ehsani JP, Ibrahim JE, Bugeja L, Cordner S. The Role of Epidemiology in Determining If a Simple Short Fall Can Cause Fatal Head Injury in An Infant: A Subject Review and Reflection. Am J Forensic Med Pathol. 2010;31(3):287-98. Citado en PubMed; PMID: 20375838.

  15. Koivisto M, Mäntylä T, Silvanto J. The role of early visual cortex (V1/V2) in conscious and unconscious visual perception. Neuroimage. 2010 Jun;51(2):828-34. Citado en PubMed; PMID: 20188199.

  16. Koo TK, Wong C, Zheng Y. Reliability of sonomyography for pectoralis major thickness measurement. J Manipulative Physiol Ther. 2010 Jun;33(5):386-94. Citado en PubMed; PMID: 20605558.

  17. Charlier P, Coffy M, Grassin Delyle S, Huynh I, Alvarez J-C, Durigon M, et al. Laryngohyoid and Cervical Vertebra Lesions After a Fall From a Low Height. Am J Forensic Med Pathol. 2011;32(3):287-90. Citado en PubMed; PMID: 21725226.

  18. Harris VA, Rochette LM, Smith GA. Pediatric injuries attributable to falls from windows in the United States in 1990-2008. Pediatrics. 2011 Sep;128(3):455-62. Citado en PubMed; PMID: 21859909.




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