Gurses Murat Serdar, Eren Filiz, Türkmen Inanir Nursel, Eren Bulent, Çetin Selcuk
Department of Forensic Medicine, Uludag University Faculty of Medicine, Bursa, Turkey.
Council of Forensic Medicine of Morgue Department, Bursa, Turkey.
Maedica (Bucur). 2016 Mar;11(1):84-86.
Presented case was a 36-year-old deceased man with a sequel of poliomyelitis who was reportedly found death at home. On external examination at autopsy, deformity of the lower extremity secondary to polimyelitis, and an obliquely coursing scar tissue 5 cm in length at the same level with the costal arch on the right axillary line were seen. On internal examination at autopsy, diaphragmatic eventration caused by bilateral elevation of the diaphragm towards thoracic cavity was detected. On the left side, stomach, spleen, and small intestines, and on the right side liver were pushed into the thoracic cavity. Cause of death was reported as heart failure of the patient with bilateral diaphragmatic eventration. We aimed to discuss rarely encountered diaphragmatic eventration in autopsy practice from a perspective of forensic medicine.
该病例为一名36岁的已故男性，有小儿麻痹后遗症，据报道在家中被发现死亡。尸检时外部检查发现，因小儿麻痹导致下肢畸形，在右腋中线与肋弓同一水平处有一条长5厘米的斜行瘢痕组织。尸检内部检查发现，双侧膈肌向胸腔抬高导致膈膨升。左侧，胃、脾和小肠，右侧肝脏被挤入胸腔。死因报告为双侧膈膨升患者的心力衰竭。我们旨在从法医学角度讨论尸检实践中罕见的膈膨升情况。
