doiSerbia

Accident after accident - unusual death of a patient in hospital

Nikolić Slobodan (Institut za sudsku medicinu, Medicinski fakultet, Beograd)
Micić Jelena (Institut za sudsku medicinu, Medicinski fakultet, Beograd)
Savić Slobodan (Institut za sudsku medicinu, Medicinski fakultet, Beograd)

The authors present a case of accidental fatal laryngopharyngeal obstruction with bolus of food, in hospital, in a patient who has been treated for twenty days because of injuries sustained in a traffic accident. The injuries were multiple fractures and brain contusions that were not clinically diagnosed, while their simptomatology (somnolence) was attributed to morbous lesions - multifocal brain infarction. Mechanical asphyxiation and death occurred when the patient was fed in hospital by his brother. Unofficially we got an information that whole event was very dramatical, and that medical staff tried to attempt re-suscitative measures but without any written note about that in medical documentation. The terminal phase of his chronic desompensated cardiomyopathia was clinically announced as a cause of death. For forensic pathologists it was relatively easy task to prove mechanical asphyxiation due to laringopharyngeal blockage as a real cause of death on medicolegal autopsy.

Keywords: bolus, asphyxia, autopsy, traffic accident