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Öğe Accessory Spleens at Autopsy(WILEY-BLACKWELL, 2011) Unver Dogan, Nadire; Uysal, Ismihan Ilknur; Demirci, Serafettin; Dogan, Kamil Hakan; Kolcu, GirayAccessory spleens (AS) may be formed during embryonic development when some of the cells from the developing spleen are deposited along the path from the midline, where the spleen forms, over to its final location on the left side of the abdomen. An accessory spleen is usually near the spleen's hilum, but it may be embedded partly or wholly in the tail of the pancreas. The aim of this study was to investigate the incidence and distribution of AS during routine forensic autopsies. AS were investigated in 720 consecutive autopsy cases. Fifty-four AS were found in 48 (6.7%) cases. AS were found in hilum of the main spleen in 28 cases, the great omentum in 13 cases, the pancreas in 5 cases, and the pelvis in 2 cases. There were two AS in two cases and three AS in another two cases. Awareness of the possible presence of AS is important because when splenectomy is performed for some conditions such as immune thrombocytopenic purpura, failure to remove the AS may result in the failure of the condition to resolve. Additionally, during medical imaging, AS may be confused for enlarged lymph nodes or neoplastic growths. In conclusion, autopsy series are useful for determining the incidences and the other features of AS in different populations, in addition to those studies using CT scans and those studies obtained during laparoscopic or open surgeries. Clin. Anat. 24:757-762, 2011. (C) 2011 Wiley-Liss. IncÖğe Accidental Decapitation A Case Report(LIPPINCOTT WILLIAMS & WILKINS, 2009) Demirci, Serafettin; Dogan, Kamil Hakan; Erkol, Zerrin; Gunaydin, GurselWe report a case of an accidental decapitation of an agriculture worker in a field. The scene investigation revealed that the worker had loosely tied a scarf tied over his face in an attempt to diminish his exposure to barley dust, to which he was allergic, while distributing the barley loads with a shovel upon a trailer. The trailer was simultaneously being loaded by a helix elevator machine and its rotating shaft suddenly caught the victim's scarf and pulled it down to the victim's neck. The rotating motion immediately tightened the scarf around the neck resulting in hanging/strangulation noose that, by continued tightening, caused decapitation of the victim. The victim's body was found on the ground by the trailer and the victim's head was discovered in the barley load in the trailer. Examination revealed that the neck was severed at the level of the second and third cervical vertebrae.Öğe Clinical Factors Associated With Outcome in Chronic Subdural Hematoma: A Retrospective Cohort Study of Patients on Preoperative Corticosteroid Therapy COMMENTS(LIPPINCOTT WILLIAMS & WILKINS, 2012) Crocker, Matthew; Dogan, Kamil Hakan[Abstract not Available]Öğe Deaths caused by mole guns: three case reports(SPRINGER, 2008) Demirci, Serafettin; Gunaydin, Gursel; Dogan, Kamil Hakan; Erkol, ZerrinPossession of firearms is limited because of the technological requirements in production and strict laws. However, anyone can manufacture a handmade firearm by following simple instructions and has no legal liability. A mole gun is an unusual weapon used to kill moles in agricultural areas. It propels pellets in a similar way as a shotgun. This study presents three cases of death caused by mole guns. Two of the cases were accidental, and the other case was suicidal. The first case involved a 51-year-old man who was checking the mole gun when it fired, injuring his left eye and the left region of his face. He died in the hospital after 3 days of medical treatment. The second case was a 78-year-old man, who had been intermittently treated for depression over the last 15 years. He died instantly after placing the mole gun vertically against his head and firing it. The third case was a 43-year-old man who had been trying to set up a mole gun device in his potato field when the weapon accidentally discharged. The victim was injured seriously and died in the hospital a short time later. In conclusion, because the mole gun may cause lethal wounds in humans when fired from a short distance, the researchers believe that its production and use should be in accordance with firearms laws.Öğe Decapitation and Dismemberment of the Corpse: A Matricide Case(WILEY-BLACKWELL PUBLISHING, INC, 2010) Dogan, Kamil Hakan; Demirci, Serafettin; Deniz, Idris; Erkol, ZerrinDismemberment of a corpse has always been viewed by society to be a more hideous crime than the homicide itself. In this study, we present a case of a 57-year-old woman who was decapitated and her right arm and both hands were dismembered. It was determined that the victim was murdered and dismembered by her 33-year-old daughter, who had been receiving treatment for schizophrenia for 15 years. On the victim's head and back there were 71 incised and stab wounds in total. They were superficial, except the five stab wounds which were connected to the right chest cavity and which incapacitated the victim. Although there is not a regulation for the act of dismembering the corpse in the Turkish Penal Code, since this type of case is rare, the crime scene and the autopsy findings were evaluated together with other pertinent data available in the literature.Öğe Evaluation of Forensic Deaths During the Month of Ramadan in Konya, Turkey, Between 2000 and 2009(LIPPINCOTT WILLIAMS & WILKINS, 2013) Demirci, Serafettin; Dogan, Kamil Hakan; Koc, SermetRamadan is a holy month for Muslim people and includes long fasting periods. During Ramadan, practicing Muslims not only fast, but they also abstain from any kind of medication, smoking, sexual intercourse, and alcohol from sunrise to sunset. In the 10-year period between 2000 and 2009, it was determined that a total of 4881 death examinations and autopsies were performed at the Konya Branch of the Forensic Medicine Council (Turkey). All of the reports were retrospectively evaluated for demographic features of the cases and the manner of death. In the studied time period, a total of 491 deaths (10.1%) occurred in Ramadan. The manner of death was accident in 369 (75.2%) of the cases in Ramadan, 3107 (70.8%) of the other cases; suicide in 27 (5.5%) of the cases in Ramadan, 367 (8.4%) of the other cases; and homicide in 28 (5.7%) of the cases in Ramadan, 375 (8.5%) of the other cases. There was a significant statistical difference in terms of the manner of death between the deaths in Ramadan and in the remaining part of the year (P < 0.05). Our study suggested that there was an increase in accidental and natural deaths and a decrease in suicide and homicides in Ramadan.Öğe Evaluation of Postmortem Cerebrospinal Fluid S100B Protein and Serotonin Levels: Comparison of Suicidal Versus Nonsuicidal Deaths in Konya, Turkey(WILEY-BLACKWELL, 2016) Dogan, Kamil Hakan; Unaldi, Mustafa; Demirci, SerafettinAlthough suicide is a preventable public health problem, objective assays for suicide risk are limited. In this study, it was aimed to determine levels of S100B protein and serotonin as a marker for risk of suicide. S100B protein and serotonin levels were investigated with ELISA method in the cerebrospinal fluid (CSF) in medicolegal autopsy cases, including those of suicide cases (n = 32) and nonsuicide cases (n = 56). The CSF S100B levels were higher (9.3 +/- 2.9 ng/mL vs. 5.4 +/- 2.0 ng/mL), and serotonin levels were lower (10.4 +/- 4.9 ng/mL vs. 19.0 +/- 5.7 ng/mL) in suicide group than nonsuicide group (p < 0.05). There was no correlation between S100B protein and serotonin levels with gender, age groups, postmortem interval, and cause of death. It is concluded that both S100B protein and serotonin in CSF may be useful for determination of suicide risk.Öğe Evaluation of Shotgun Suicides in Konya, Turkey Between 2000 and 2007(LIPPINCOTT WILLIAMS & WILKINS, 2014) Demirci, Serafettin; Dogan, Kamil Hakan; Deniz, Idris; Erkol, ZerrinThe number of the suicides is increasing all around the world. In this study, the cases autopsied between 2000 and 2007 in The Konya Branch of Forensic Medicine Council were retrospectively investigated. Fifty-seven shotgun suicides were determined. The cases were evaluated in terms of their demographic characters, site of entrance wound, the type of the cartridge used, shooting distance, the place of incident, the place of death, motive for suicide, and the presence of previous suicide attempts. The most preferred site of entrance wound was the head with 34 cases (59.7%). Of 34 cases in which the entrance wound was on the head, there was indirect mandibular fracture in 16 cases (47.1%). In 11 cases (19.3%), there observed small ecchymosed abrasions on the finger surfaces, which are thought to have resulted from the trigger kicking back during triggering or the finger having been stuck between the trigger and the trigger guard. It is concluded that there is a need for a legal regulation that makes obtaining of shotguns more difficult and the people who have them are to be educated not to keep them in easily accessible places.Öğe Fatal injury by an unmodified blank pistol: A case report and review of the literature(ELSEVIER SCI LTD, 2011) Demirci, Serafettin; Dogan, Kamil Hakan; Koc, SermetIn this paper, we report a fatal neck injury of suicidal origin of a 29-year-old man. A 9-mm blank pistol and several blank cartridges in a plastic bag were discovered near the victim. There was an irregular and contuse oval contact-entrance wound of 25 mm x 20 mm with a muzzle imprint on its upper medial part on the right side of the neck. The cause of death was exsanguination due to injuries to the right external carotid artery and the right jugular vein. This case confirms that blank pistols, contrary to public opinion, are dangerous and may inflict potentially fatal injuries when fired at close or contact range. In addition, previously reported 18 fatal injuries by blank cartridges caused by unmodified blank pistols between 1990 and 2009 are reviewed and summarized. It is concluded that as blank pistols may cause fatal injuries even without any modification, it is necessary to develop new standards for their production. (C) 2011 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.Öğe Injuries and Deaths Caused by Mole Guns(ORTADOGU AD PRES & PUBL CO, 2009) Demirci, Serafettin; Dogan, Kamil Hakan; Gulmen, Mete Korkut; Erkol, Zerrin; Koc, SermetObjective: Mole guns are commonly used to kill detrimental animals. They sometimes cause injuries, even lethal ones, and are occasionally used in crimes. A mole gun propels pellets similar to a shotgun. Material and Methods: In this study, 24 cases of injuries in the province of Konya (Turkey) between 2004 and 2007 and 4 cases of death in the provinces of Konya, Burdur, Erzincan and Denizli (Turkey) that were caused by mole guns were analyzed. Results: In the cases involving non-lethal injuries, 23 victims were males and one was a female. Their ages ranged between 2 and 80 years with an average age of 50.8 +/- 17.7 years. The most represented age group in the range was 60-69 years with 8 cases and 19 of the cases were farmers. In 3 of the cases that led to death, the manner of death was an accident and 1 case was a homicide. Conclusion: As the mole gun can cause various disabilities and lethal wounds to humans when fired from a short distance, its production and use should be prohibited.Öğe Is Daily Shaving of Axillary and Pubic Hair a Feature of Suicide in the Muslim Community?(LIPPINCOTT WILLIAMS & WILKINS, 2008) Demirci, Serafettin; Dogan, Kamil Hakan; Erkol, Zerrin; Deniz, IdrisIn the Islamic context, "fitrah" refers to humanity's innate disposition toward virtue and the ability to differentiate between right and wrong. A common quote regarding fitrah, from the Prophet is, The fitrah consists of 5 things: circumcision, trimming the moustache, cutting the nails, Plucking the armpit hairs, and shaving the pubic hairs." In this study, our aim was to determine the status of axillary and pubic shaving in medicolegal death cases that took place in the Konya Province of Turkey and to evaluate the relationship with the origin of suicide. Of 2850 medicolegal death cases, 206 (7.2%) were of suicidal origin. It was observed that the average age in the cases of suicidal origin was 36.76 +/- 17.72 years, and 146 of 206 cases (70.9%) were men. As a method Of Suicide, hanging was the chosen method in 100 cases (48.5%), whereas firearm injuries occurred in 54 cases (26.2%), and intoxication was involved in 37 cases (18.0%). Daily axillary and pubic shaving was observed in 26 of 2644 (1.0%) death cases that Occurred with nonsuicidal reasons, but in 65 of 206 were (31.6%) suicidal cases. Because suicidal notes were present in 25 (12.1%) of all of the suicidal cases, the ratio of daily axillary and pubic shaving was significantly higher than that of the suicidal notes. In investigating the cases of suicidal origin for medicolegal purposes, evidence showing that this action was committed by the victim, the presence of a suicide note at the death scene and, a history of a previous suicidal attempt, it was thought that the presence of daily axillary and pubic shaving oil external examination of the victim's body, when of Muslim faith, could also be considered a feature of suicide.Öğe Ligature strangulation deaths in the province of Konya (Turkey)(ELSEVIER SCI LTD, 2009) Demirci, Serafettin; Dogan, Kamil Hakan; Erkol, Zerrin; Gunaydin, GurselIn the present study, deaths by ligature strangulation in the province of Konya (Turkey) were evaluated from the medicolegal point of view between 2001 and 2006. In total 2850 medicolegal death cases, 161 (5.65%) were resulted from asphyxia and 20(12.4%) of the deaths due to asphyxia were cases of ligature strangulation. Male:female ratio of the victims was 1:1 with ages ranging from 1.5 to 70 years and a mean age of 37.22 +/- 19.28 years. 17 cases (85%) were of homicidal and 3 cases (15%) of suicidal origin. The most widely used ligature material was clothesline in 6 cases (30%). On the examination of neck structures, thyroid cartilage fracture was present in 7(35%) cases, fracture of the hyoid bone in 3 cases (15%), fracture both of the thyroid cartilage and hyoid bone in 1 case (5%), only ecchymosis in soft tissues in 7 cases (35%). In the paper, the findings determined in our cases are discussed in the light of the literature on the subject. (C) 2009 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.Öğe MAJOR ANATOMIC VARIATIONS OF PULMONARY FISSURES AND LOBES ON POSTMORTEM EXAMINATION(SESTRE MILOSRDNICE UNIV HOSPITAL, 2015) Unver Dogan, Nadire; Uysal, Ismihan Ilknur; Demirci, Serafettin; Dogan, Kamil Hakan; Kolcu, GirayThis study was aimed at determining major accessory fissures (MAF) and absence or incompleteness of lobar or major fissures (MF) during routine forensic autopsies. Prior to starting this prospective study, forms were prepared to collect data on pulmonary lobes and fissures. In this study, 420 lungs of 210 autopsy cases were examined for incompleteness and absence of MF and complete accessory fissures. Horizontal fissures were incomplete in 18 right lungs. Incomplete oblique fissures were noted in three right and two left lungs. Unidentified abnormal fissures were determined in one left lung and five right lungs. The most common fissural abnormality was less than half complete horizontal fissure. Four right lungs had four lobes and two left lungs had three lobes because of complete accessory fissures. The number of lobes in the left and right lungs and the morphological features of both incomplete MF and MAF were determined in detail and the variations were photographed. It is concluded that, in addition to studies on computed tomography scans, autopsy series are useful for determining the variations of MF and MAF of the lungs in different populations.Öğe Neurosurgical Considerations After Bull Goring During Festivities in Spain and Latin America COMMENT(LIPPINCOTT WILLIAMS & WILKINS, 2011) Dogan, Kamil Hakan[Abstract not Available]Öğe Precautions Taken to Avoid Abandoning the Act of Hanging and Reducing Pain in Suicidal Hanging Cases(LIPPINCOTT WILLIAMS & WILKINS, 2009) Demirci, Serafettin; Dogan, Kamil Hakan; Erkol, Zerrin; Deniz, IdrisThis study presents 17 cases of hanging with some preventative measures, when compared with usual hanging fatalities, between 2002 and 2006 in the province of Konya, Turkey. We observed in 4 cases that the victim had only tied together their hands, whereas in I case both the hands (with a clothesline) and mouth (with a plastic bag) had been fastened. In a further case, the oral orifice had been closed using a scarf and in the remaining I I cases, soft materials such as a scarf, hood, the collar of a coat or shirt had been used as padding against the ligature loop. At first glance, the cases where the victim's hands and/or mouth were found tied were thought to be homicides. However, an investigation of the death scene, together with the autopsy findings and inquiry data, showed the cause of death was from suicide. Thus, in suicidal hanging cases certain precautions and preventative measures were observed. For example, tying the hands together was regarded as a means to make self-release impossible; closure of the oral orifice as a means to prevent the victim from calling out for help, and placing soft material against the ligature loop was thought to be an attempt to lessen the feeling of pain.Öğe Pseudoaneurysm originating from left ventricle aneurysm: An autopsy case and review of literature(ELSEVIER SCI LTD, 2013) Dogan, Kamil Hakan; Demirci, Serafettin; Tavli, Lema; Buken, BoraRupture of the free wall of the left ventricle is a catastrophic complication of acute myocardial infarction. Rarely, free wall rupture is contained by overlying adherent pericardium, producing a pseudoaneurysm of the left ventricle. In this report, a case of a left ventricular pseudoaneurysm due to a previous myocardial infarction is described. A 55-year-old woman had a severe chest pain 11 months prior to death. No cardiac investigation was performed. Three days prior to death, she suffered from fatigue and weakness, and had a witnessed sudden cardiac death. At autopsy, a 8.5 x 10 x 8 cm pseudoaneurysm of the left ventricle was found. There was severe coronary artery atherosclerosis. There were extensive adhesions between pericardium and pseudoaneurysm wall. The cause of death was attributed to heart failure and resulting arrhythmia. The case illustrates the rare event of left ventricular pseudoaneurysm first diagnosed at forensic autopsy. (C) 2013 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.Öğe A Series of Complex Suicide(LIPPINCOTT WILLIAMS & WILKINS, 2009) Demirci, Serafettin; Dogan, Kamil Hakan; Erkol, Zerrin; Deniz, IdrisThis article presents 16 complex suicide cases. Complex suicide is defined as the use of more than one method to induce death. Of the victims, 10 were men and the ages ranged from 19 to 70 years. Eight victims left a suicide note. It was observed that 13 victims realized the suicidal act in the house and 5 victims had previous suicidal attempts. It was determined that 10 victims had psychiatric disorders, one of them had alcohol dependence. Six victims were housewives, 4 victims were unemployed, followed by one each victim of student, worker, farmer, tradesman, prayer leader, and animal husbandry lines of business. Ten victims were married; 3 victims were single; and 3 victims were divorced. On investigating the methods of suicide, it was seen that 9 victims preferred sharp instrument usage; 5 victims insecticide ingestion; 4 victims each firearms, medicine overdose; 3 victims each hanging, falling from a height; 2 victims self-strangulation; and I victim each drowning, liquefied petroleum gas and natural gas inhalation together, fungicide ingestion, rodenticide ingestion. It was determined that 2 victims used 3 methods and the other 14 victims 2 methods in company, to realize the suicide. In this article, the data obtained from our study was discussed by comparing similar data.Öğe Sudden death due to a colloid cyst of the third ventricle: Report of three cases with a special sign at autopsy(ELSEVIER IRELAND LTD, 2009) Demirci, Serafettin; Dogan, Kamil Hakan; Erkol, Zerrin; Gulmen, Mete KorkutColloid cysts of the third ventricle are rare benign cysts but they may be potentially life-threatening. Three cases of sudden death resulting from colloid cysts of the third ventricle are presented. The first and second cases were treated for migraine headaches. In the first case, the patient was a 24-year-old woman who presented to the hospital with a severe headache and was sent back home after medical treatment. Six hours later, she was found dead in her bed. The second case was a 21-year-old woman who experienced a severe headache, dizziness and vomiting 1 day prior to her death. She was transported to the hospital, where she was pronounced dead upon arrival. The third case was a 25-year-old man who experienced headaches and vomiting and was diagnosed with and medically treated for sinusitis. He lost consciousness and was taken to hospital, where he was pronounced dead on arrival. During the autopsy of all three cases, there was a grey transillumination area observed that occurred due to the stretching of tissue at the base of brain between the corpus mamillare and chiasma opticum. Dissection of the brain revealed a colloid cyst of the third ventricle. To avoid such fatal complications, prompt diagnosis using CT or MRI is essential in patients who have a long-standing history of intermittent headaches. During the autopsy of the sudden deaths of people with medical antecedents of headaches, if a grey color is observed between the chiasma opticum and the corpus mamillare in the base of the brain, a colloid cyst should be considered and this region should be dissected and examined carefully. (C) 2009 Elsevier Ireland Ltd. All rights reserved.Öğe Sudden Death Due to Hydatid Cyst Rupture Located in Right Ventricle(LIPPINCOTT WILLIAMS & WILKINS, 2008) Demirci, Serafettin; Gunaydin, Gursel; Dogan, Kamil Hakan; Toy, HaticeHydatid cyst is a parasite disease, which is common in those countries where animal husbandry is extensive, but preventive medicine is lacking. Endemic regions are South Europe, South America, Africa, Turkey, Australia, New Zealand, and India. In the study, a sudden death case due to cardiac hydatid cyst rupture located in right ventricle has been presented with a review of the literature. The victim was a 10-year-old girl of a family who raised sheep. External examination of the body showed congestion in both the head and face but neither trauma nor evidence of violence or eruptions on the skin were found. At autopsy, through a vertical incision on the frontal surface of truncus pulmonalis, a total of 8 daughter cysts were obtained. A 6 x 5 cm cyst was observed in the right ventricular apex. In those countries where hydatid cyst is endemic, and when sudden unexpected death occurs in individuals involved in animal husbandry, cardiac hydatid cyst must be kept in mind as a cause.Öğe Suicide by Ligature Strangulation Three Case Reports(LIPPINCOTT WILLIAMS & WILKINS, 2009) Demirci, Serafettin; Dogan, Kamil Hakan; Erkol, Zerrin; Gunaydin, GurselSuicide by ligature strangulation, which gives the initial impression of a homicide, is very rare. In this article, 3 suicidal death cases caused by ligature strangulation in Konya between 2001 and 2006 are presented. The first victim was a 68-year-old man who suffered from depression and lived alone in a cottage house. He terminated his life by applying a tourniquet to his neck after leaving a suicide note. The second victim was a 70-year-old woman who was found dead on the floor of the living room in her house. After she cut the vessels in her wrist, she tied pantyhose with 3 knots around her neck. It was reported that she had been intermittently receiving treatment for bronchial asthma and depression for 20 years. The third victim was a 30-year-old woman who suffered from schizophrenia for 6 years. She tied a scarf around her neck with 3 knots and died in the hospital after 1 day due to "hypoxic brain syndrome." As a result of the death scene investigations, autopsies, and judicial inquiries, it was concluded that death was by suicide in all 3 cases. Because the use of the ligature strangulation method, and particularly the tourniquet method, in suicidal cases is extremely rare in the literature, our aim is to present and discuss these cases.
