Author/Authors :
Mandal ، R نويسنده Department of Pathology, North Bengal Medical College and Hospital, Sushrutanagar, Darjeeling, India , , Mondal ، K نويسنده Department of Pathology, North Bengal Medical College and Hospital, Sushrutanagar, Darjeeling, India , , Khan ، K نويسنده Department of Pathology, North Bengal Medical College and Hospital, Sushrutanagar, Darjeeling, India , , Kumar Mandal ، P نويسنده Department of Pathology, North Bengal Medical College and Hospital, Sushrutanagar, Darjeeling, India , , Gaha Mallik Sinha ، M نويسنده Department of Pathology, North Bengal Medical College and Hospital, Sushrutanagar, Darjeeling, India ,
Abstract :
traffic accident (RTA) victim, because multiple injuries make it difficult to decide on the most fatal lesion, particularly when death is delayed by prompt medical intervention; and secondary haemorrhage, renal failure, fat embolism, systemic infections, myocardial or cerebral infarction – all comes under the potential differential threats.
Case Report: A 20 year-old RTA victim was hospitalized in a comatose state and died after surviving 21 days on intermittent positive pressure ventilation. Post-mortem examination of different organs revealed pneumonic consolidation in lung, fatty changes in liver and acute tubular necrosis in kidney; in addition to haemorrhage and congestion in these organs and brain.
Conclusion: Acute contusions of various internal organs, compounded by hospital-acquired infection and medical interventions turn the overall diagnostic scenario messy in a resuscitated RTA victim. In such condition notification about all lethal organic defects, instead of mentioning mere ‘multiorgan failure’, is the best way to sign out an ‘autopsy report.
