Evaluation of traumatic findings in decomposed bodies in Aydin

BACKGROUND
In this study, we discuss traumatic lesions as assessed in decomposed bodies.
METHODS
From 1390 autopsies, which were performed by Adnan Menderes University, Faculty of Medicine, Department of Forensic Medicine staff during the period 2004-2008, reports of 62 decomposed bodies were searched, and traumatic lesions were found in 19 of them. Features like gender, living conditions, crime scene, identity witness, season, postmortem interval, cause and origin of deaths, and existence of traumatic lesions were investigated.
RESULTS
From the 1390 forensic autopsies, 4.5% were decomposed bodies. Male cases accounted for 91.9%, and the male/female ratio was 11.4/1. From reports, 38.7% lived alone, and the crime scene was the home in 57.9%. Traumatic lesions were found in 30.6%. The leading causes of death were cardiac diseases in natural deaths, hanging in suicide cases, stab wounds in homicide cases, and carbon monoxide poisoning in accidents. It was statistically significant that traumatic lesions were common in outdoor cases and indoor bodies were common among single cases.
CONCLUSION
As it is necessary to distinguish traumatic lesions carefully in decomposed bodies, a full examination and autopsy should be performed.

Aydýn’da bozulmuþ cesetlerdeki travmatik bulgularýn deðerlendirilmesi

AMAÇ
Bu çalýþmada, bozulmuþ cesetlerdeki travmatik lezyonlarýn irdelenmesi amaçlandý.
GEREÇ VE YÖNTEM
2004-2008 yýllarý arasýnda Adnan Menderes Üniversitesi Týp Fakültesi Adli Týp Anabilim Dalý çalýþanlarý tarafýndan yapýlan toplam 1390 otopsinin kayýtlarýndan, 62 adet bozulmuþ cesede ait rapor incelendi, bunlardan 19 tanesinde travmatik lezyonlar saptandý. Raporlarda bulunan cinsiyet, yaþam þekli, olay yeri, medeni durum, kimlik tanýðý, mevsim, postmortem interval, ölüm nedeni ve orijin, travmatik lezyonlarýn varlýðý gibi özellikler araþtýrýldý.
BULGULAR
Toplam 1390 adli otopsinin %4,5’i bozulmuþ ceset idi. Bunlarýn da %91,9’u erkek, %8,1’i kadýn ve E/K oraný 11.4/1 idi. Olgularýn %38,7’si yalnýz yaþamakta olup, olay yeri %59,7’inde evdi, %30,6’sýnýn vücudunda travmatik lezyon saptandý. Ýlk sýrayý doðal ölümlerde kalp hastalýklarý, intihar orijinli ölümlerde asý, cinayet orijinli ölümlerde kesici delici alet, kaza sonucunda meydana gelen ölümlerde karbonmonoksit zehirlenmesi almaktaydý. Bekar olanlarýn ev içinde cesetlerinin bulunmasý ve cesetleri ev dýþýnda bulunanlarda travmatik bulgularýn olmasý istatistiksel olarak anlamlý idi.
SONUÇ
Bozulmuþ cesetlerde travmatik lezyonlarýn ayrýmýnýn özenli bir þekilde yapýlmasý gerektiðinden tam inceleme ve otopsi yapýlmasý uygun olacaktýr.