Masoud Ghadipasha; Fares Najari; Alimohammad Alimohammadi; Marzieh Khalilzadeh
Volume 20, Issue 4 , 2018, Pages 1-5
Abstract
Introduction: Determination of suicide as the cause of death due to shotguns can be challenging because shotguns are usually designed for hunting, sport, and recreation. Therefore, the impact of their bullets on the human body may present several unclear signs. In this case, pellets were reported to ...
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Introduction: Determination of suicide as the cause of death due to shotguns can be challenging because shotguns are usually designed for hunting, sport, and recreation. Therefore, the impact of their bullets on the human body may present several unclear signs. In this case, pellets were reported to spread in contact wounds. The manner of death seemed to be initially murder yet after the autopsy, it seemed suicidal. Case Presentation: The incident occurred during March 2015 in a house in the capital city of Iran, Tehran. The case was a 39-year-old man, who upon initial examination, was reported to have committed suicide using a shotgun. This was evident by the presence of distributed pellets in the chest and pelvis, which confirmed a contact shot. Conclusions: The following were hypothesized: 1- After the plastic cap of the bullet hit the sternum, it was fragmented, and pellets were scattered. 2- Regarding the existence of the pellets in the heart’s ventricles, it seemed the pellets were distributed immediately through the aorta, to the chest, and through to the abdominal aorta, and the pelvis
Fares Najari; Masoud Ghadipasha; Ali Alimohammadi; Ideh Baradaran Kayal; Khadijeh Saravani
Volume 19, Issue 10 , October 2017, , Pages 1-4
Abstract
Introduction: Septorhinoplasty is one of the most common cosmetic procedures in Iran. Intracranial complications such asmeningitis, cerebrospinal fluid (CSF) rhinorrhea, pneumocephalus, and damage to the skull’s base are rare, but potential lifethreatening complications are associated with such ...
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Introduction: Septorhinoplasty is one of the most common cosmetic procedures in Iran. Intracranial complications such asmeningitis, cerebrospinal fluid (CSF) rhinorrhea, pneumocephalus, and damage to the skull’s base are rare, but potential lifethreatening complications are associated with such procedures, though very few cases of intracranial complications after septorhinoplasty have been reported.Case Presentation: A 29-year-old woman was admitted to a limited surgery clinic in Tehran, Iran in 2015 for septorhinoplasty, and 4 days post-operation she complained of headache, drowsiness, and CSF rhinorrhea. The patient’s surgical complications included a skull base fracture, pneumocephalus, and an epidural hematoma.Conclusions: Prevention of life-threatening complications following septorhinoplasty is important. Prevention, early detection, and appropriate treatment of intracranial complications will result in fewer catastrophic outcomes. To prevent damage to the skull base and other cerebral complications, it is necessary that surgeons use a suitable technique, understand appropriate anatomical information, maintain awareness of possible anatomic variations, and practice gentle manipulation of the ethmoid roof.
