Browsing by Author "Akin, U"
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Item A Case of Pica with Motor-Mental Retardation and with Foreign Bodies in the Larynx and Gastrointestinal Tract: Autopsy Results and Current Literature ReviewAykir, OF; Kandemir, F; Yavuz, MS; Akin, U; Erkol, ZZPica is the continuous consumption of non-nutritive and non-food items for at least one month. In this study, a 17-year-old boy pica case diagnosed with motor-mental retardation due to cerebral palsy was presented. It was learned that the case was exhibiting object swallowing behaviour. He was found dead in the field by his relatives. At the autopsy, a 3.5x3.0x2.5 cm foreign body (stone) that completely obstructed the upper part of the larynx lumen was removed. In addition, three foreign bodies were removed from the cecum region. The death was caused by mechanical asphyxia due to foreign body aspiration.Item The importance of clinical approach in aggravated sexual abuse: Case reportKarabag, G; Tanriverdi, HI; Yavuz, MS; Genç, A; Akin, U; Saraç, SThe reported rate of sex crimes, some of the most severe acts of violence that can be perpetrated against an individual, is increasing across all societies, regardless of gender or age of the victim. Sexual abuse has been defined, in part, as the involvement of a child in sexual activity for which they are incapable of giving consent, that they cannot fully comprehend, or for which they are developmentally immature. Molestation of the anorectal region is frequently encountered when the victim of sexual abuse is a male child.Tenderness around the anus, ecchymosis, and detachment in the anal sphincter and rectum mucosa may be observed in the acute examination of children who have been subjected to aggravated sexual abuse; however, injuries related to the anus or the rectum may also occur as a result of an accident. An 11-year-old male patient was referred from another health center with a report of being at risk of death. The injury that was said to be the result of accidentally sitting on a knife.An examination in the lithotomy position revealed perianal ecchymosis, a superficial laceration at 1 and 6 o'clock, and a deep laceration at 7 o'clock. Based upon a suspicion of sexual abuse, anal and rectal swab specimens were obtained.The pediatric surgery department performed a primary repair of the lacerations.The microscopic examination of the swab specimens revealed cells showing sperm morphology, and therefore the appropriate forensic statements were made and the swab specimens were sent to the judicial authority for genetic analysis. This report emphasizes the importance of the awareness of physicians regarding the prompt collection and submission of potentially evidential biological samples in a case of suspected sexual abuse though it may be presented as an accident.