Medicolegal Aspects of Life-Threatening Late Hemorrhage after Tonsillectomy; a Report of Three Cases
- سال انتشار: 1402
- محل انتشار: Journal of clinical care and skills، دوره: 4، شماره: 3
- کد COI اختصاصی: JR_CCS-4-3_005
- زبان مقاله: انگلیسی
- تعداد مشاهده: 160
نویسندگان
Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran
Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran
Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran
چکیده
Aims: Secondary bleeding after tonsillectomy is unavoidable. If it leads to a life-threatening event, it will likely be associated with a malpractice claim against the surgeon. Very few reports have addressed this event from a medicolegal point of view. Therefore, the present report aimed to investigate litigations following secondary post-tonsillectomy hemorrhage leading to death or life-threatening events in three patients. Patients & Methods: Here, we report three cases of life-threatening secondary post-tonsillectomy hemorrhage referred to the Legal Medicine Organization by the prosecuting attorney to give an expert opinion about any medical negligence. Findings: Two cases resulted in death and underwent medicolegal autopsy. The third one caused a cardiopulmonary arrest followed by neurological deficits after successful resuscitation. All three were children between ۸ and ۹ years old, and the time from surgery to post-tonsillectomy hemorrhage was between ۳۰ hours to ۱۳ days. No vascular anomaly or iatrogenic vascular injuries were found at autopsy. A review of the literature revealed that post-tonsillectomy hemorrhage is common and unpreventable Conclusion: In none of the cases medical malpractice was found as a contributing factor, and the complication was regarded as unpreventable.کلیدواژه ها
Tonsillectomy, Hemorrhage, Medical Malpractice, Medicolegal Autopsy, Life-threatening Eventاطلاعات بیشتر در مورد COI
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