Pattern of Abdominal Injuries in Accidents Leading to the Death of Motorcyclists: A Case Study in Kahrizak-Tehran Autopsy Hall, 2017-2019

Document Type : Original article

Authors

1 Professor, Department of Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran

2 Associate Professor, Department of Forensic Medicine, school of Medicine, Mazandaran University of Medical Sciences, Sari, Iran

3 Associate Professor, Department of Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran

Abstract

Introduction: Trauma is one of the causes of death and disability, of which traffic accidents are the most common causes resulting in death. Injuries due to traffic accidents are among the most forgotten major problems in public health. This study aimed to investigate the pattern of abdominal injuries in accidents resulting in the death of motorcyclists sent to Kahrizak Autopsy Hall
Iranian Legal Medicine,Organization,Tehran,Iranwithin 2017-2019.
Materials and Methods: In this descriptive cross-sectional study, the records of motorcyclists, who passed away after an accident and their bodies were transferred to Kahrizak Autopsy Hall Iranian Legal Medicine Organization,Tehran,Iran, were examined between 2017 and 2019. The necessary data were collected by a questionnaire and the gathered data were analyzed in SPSS software (version 22).
Results: Out of 199 cases, the minimum and maximum ages were 6 and 75 years, and the mean age was obtained at 30.76±12.76 years. Regarding the relationship between superficial body injuries (abdomen, flank, and waist) and intra-abdominal injuries, including the association of abrasions, scratches, and ruptures without penetrating the abdomen with intra-abdominal injuries in the liver, spleen, intestine, kidney, stomach, pancreas, aorta, inferior vena cava, and retro-peritoneum, was significant (P=0.02).
Conclusion: Although no clinical findings may be observed in the patient's physical examination, highly important evidence and findings can be obtained in the autopsy. Therefore, based on the results of this study, it is recommended that the absence of physical findings in the abdomen of corpses not be considered a reason for a forensic pathologist to refuse an abdominal autopsy.

Keywords

References

  1. Blank-Reid C. A historical review of penetrating abdominal trauma. Crit Care Nurs Clin North Am. 2006; 18(3):387-401.
  2. Fabian TC, Bee TK. Liver and biliary trauma. New York: McGraw-Hill; 2008. P. 637.
  3. Coleman JJ, Zarzaur BL. Surgical management of abdominal trauma: hollow viscus injury. Surg Clin. 2017; 97(5):1107-17.
  4. Hemmila MR, Wahl WL. Management of the injured patient. In: Doherty GM, editor. Current surgical diagnosis and treatment. New York: McGraw-Hill; 2008.
  5. Ahmed N, Vernick JJ. Pancreatic injury. South Med J. 2009; 102(12):1253-6.
  6. Taghipour HR, Panahi F, Khoshmohabat H, Hojati Firoozabadi N, Moharamzad Y, Abbasi AR. Causes and severity of fatal injuries in autopsies of victims of fatal traffic accidents. SSU J. 2010; 17(5):358-64.
  7. Yan X, Ma M, Huang H, Abdel-Aty M, Wu C. Motor vehicle-bicycle crashes in Beijing: irregular maneuvers, crash patterns, and injury severity. Accid Anal Prev. 2011; 43(5):1751-8.
  8. Chiang VX, Cheng JY, Zhang ZC, Teo LT. Comparison of severity and pattern of injuries between motorcycle riders and their pillions: a matched study. Injury. 2014; 45(1):333-7.
  9. Shahla A, Charehsaz S. Injuries resulting from motorcycle-induced trauma during two years in Shahid Motahari Clinical Center of URMIA. Sci J Forensic Med. 2006; 12(2):79-83.
  10. Yousefzadeh SH, Ahmadi DM, Mohammadi MH, Dehnadi MA, Hemati H, Shaabani S. Epidemiology of injuries and their causes among traumatic patients admitted into Poursina hospital, Rasht (second half of the year 2005). J Kermanshah Univ Med Sci (Behbood). 2007; 11(3):286-95.
  11. Khatami SM, Kalantar Motamedi MH, Tarighi P, Rezai Y, Bakhshandeh H, Shakiba M, et al. Epidemiology of trauma baqiatallah hospital: a one-year prospective study. J Mil Med. 2003; 5(1):13-9.
  12. Pourhossein M, Saeed HA, Babaei M. The study of cyclist situation died owing to road accidents referred to Legal Medicine Center-Sari, 2003. Sci J Forensic Med. 2004; 10(35):132-6.
  13. Kazemi M, Pieter W. Injuries at the Canadian national tae kwon do championships: a prospective study. BMC Musculoskelet Disord. 2004; 5:22.
Navid No
Volume 24, Issue 78
October 2021
Pages 96-103

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