LUKA TUSUK TEMBUS HATI DAN PANKREAS BERAKIBAT DIC YANG MEMATIKAN (SEBUAH LAPORAN KASUS)

  • Nila Nirmalasari Bagian Kedokteran Forensik dan Medikolegal FK UGM – RSUP Dr.Sardjito Yogyakarta
  • Ida Bagus Gede Putra Pidada Bagian Kedokteran Forensik dan Medikolegal FK UGM – RSUP Dr.Sardjito Yogyakarta
  • RAY. Kusparwati Ika Pristianti Bagian Kedokteran Forensik dan Medikolegal FK UGM – RSUP Dr.Sardjito Yogyakarta

Abstract

Most cases of forensic clinic that was treated in hospital just use medical records to be poured into the visum et repertum clinic. Rarely asked to do an autopsy. In this case, the investigation team insisted on an autopsy performed on the grounds that the evidence obtained is more accurate. In this case, an autopsy of a body of a man, aged 30 years, died after 5 days previously experienced persecution in the form of stabbing on the left upper abdomen. Before surgery the victim had died after laparotomy Cito persecution and hospitalized for 5 days. Obtained from autopsy examination of pathological conditions such as a puncture scar that has been sewn in the gut left scars that have been sewn in the liver and pancreas, presence of jaundice, congestion, edema, organ, bleeding very much in the chest cavity with little blood clots, and many blood clots that stick to multiple organs in the abdomen. Based on the results of the autopsy concluded that the puncture wounds on the liver and the pancreas resulting in the mechanism of blood clotting disorders (Disseminated Intravascular Coagulation/ DIC) and multiple organ failure. The autopsy results are supported by the data as a condition of treatment of hypovolemic shock at admission level 3-4, and after a few hours of completed surgery, patients show the conditions that lead to a diagnosis of DIC, even the more severe conditions lead to multiple organ failure.

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Author Biographies

Nila Nirmalasari, Bagian Kedokteran Forensik dan Medikolegal FK UGM – RSUP Dr.Sardjito Yogyakarta

Bagian Kedokteran Forensik dan Medikolegal FK UGM – RSUP Dr.Sardjito Yogyakarta

Ida Bagus Gede Putra Pidada, Bagian Kedokteran Forensik dan Medikolegal FK UGM – RSUP Dr.Sardjito Yogyakarta

Bagian Kedokteran Forensik dan Medikolegal FK UGM – RSUP Dr.Sardjito Yogyakarta

RAY. Kusparwati Ika Pristianti, Bagian Kedokteran Forensik dan Medikolegal FK UGM – RSUP Dr.Sardjito Yogyakarta

Bagian Kedokteran Forensik dan Medikolegal FK UGM – RSUP Dr.Sardjito Yogyakarta

Published
2013-03-24
How to Cite
NIRMALASARI, Nila; PUTRA PIDADA, Ida Bagus Gede; IKA PRISTIANTI, RAY. Kusparwati. LUKA TUSUK TEMBUS HATI DAN PANKREAS BERAKIBAT DIC YANG MEMATIKAN (SEBUAH LAPORAN KASUS). Indonesian Journal of Legal and Forensic Sciences (IJLFS), [S.l.], v. 3, mar. 2013. ISSN 2657-0815. Available at: <https://ojs.unud.ac.id/index.php/ijlfs/article/view/20883>. Date accessed: 27 apr. 2024.

Keywords

stab wounds; liver;pancreas;DIC; multiple organ failure