Mechanical intestinal obstruction as a cause of death in forensic practice: a retrospective study

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Abstract

Background: Acute mechanical intestinal obstruction is relevant for surgical and forensic practice. However, in forensic literary sources, the structure of death from intestinal obstruction is not sufficiently covered.

Aims: Investigate the structure of mortality due to acute mechanical obstruction of the intestine according to the conclusion of forensic medical examinations for the period 2015–2019, generalize and highlight the peculiarities of sectional practice in this pathology compared to clinical data.

Results: The number of deaths from mechanical intestinal obstruction during the studied period of forensic practice was stable. The most common cases were deaths from acute mechanical intestinal obstruction caused by the impairment of various external ventral hernias or prior to the adhesion process in the abdominal cavity.

Conclusions: The structure of mortality from acute mechanical intestinal obstruction according to forensic expert practice differs from clinical data, where the adhesion form of mechanical obstruction prevails significantly.

About the authors

Alexandr E. Rubtsov

Bureau of Forensic Medical Examination of the Department of Health of the City of Moscow

Author for correspondence.
Email: zulugra@mail.ru
ORCID iD: 0000-0002-5268-6337

Physician of the Highest Qualification Category, Forensic Medical Expert

Russian Federation, 3 bld. 6, Tarny proezd, 115516, Moscow

Michael Y. Morozov

First Sechenov Moscow State Medical University under Ministry of Health of Russian Federation (Sechenov University)

Email: 3221vbif@gmail.com
ORCID iD: 0000-0001-8678-9556

student of the resource center «Medical Sechenov Preuniversary»

Russian Federation, Moscow

Vladimir N. Nikolenko

First Sechenov Moscow State Medical University under Ministry of Health of Russian Federation (Sechenov University)

Email: nikolenko@mma.ru
ORCID iD: 0000-0001-9532-9957

Dr. Sci. (Med.), Prof., Head of the Department of Human Anatomy

Russian Federation, Moscow

Yuri E. Morozov

Bureau of Forensic Medical Examination of the Department of Health of the City of Moscow; First Sechenov Moscow State Medical University under Ministry of Health of Russian Federation (Sechenov University)

Email: mrzv66@mail.ru
ORCID iD: 0000-0002-0594-257X
SPIN-code: 4434-5278

Dr. Sci. (Med.), Associate Prof., Professor of Department of Forensic Medicine

Russian Federation, Moscow; Moscow

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Supplementary files

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1. JATS XML
2. Fig. Necrosis of areas of iliac and sigmoid intestine at interrupted formation

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Copyright (c) 2021 Rubtsov A.E., Morozov M.Y., Nikolenko V.N., Morozov Y.E.

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