RAY. Kusparwati Ika Pristianti
Bagian Kedokteran Forensik dan Medikolegal FK UGM – RSUP Dr.Sardjito Yogyakarta

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LUKA TUSUK TEMBUS HATI DAN PANKREAS BERAKIBAT DIC YANG MEMATIKAN (SEBUAH LAPORAN KASUS) Nila Nirmalasari; Ida Bagus Gede Putra Pidada; RAY. Kusparwati Ika Pristianti
Indonesian Journal of Legal and Forensic Sciences (IJLFS) Vol 3 (2013): Indonesian Journal of Legal and Forensic Sciences
Publisher : Penerbit, sejak 2012 : Asosiasi Ilmu Forensik Indonesia dan UPT Lab. Forensik Sain dan Kriminilogi - Universitas Udayana

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Abstract

Most cases of forensic clinic that was treated in hospital just use medical records to be poured into the visum et repertum clinic. Rarely asked to do an autopsy. In this case, the investigation team insisted on an autopsy performed on the grounds that the evidence obtained is more accurate. In this case, an autopsy of a body of a man, aged 30 years, died after 5 days previously experienced persecution in the form of stabbing on the left upper abdomen. Before surgery the victim had died after laparotomy Cito persecution and hospitalized for 5 days. Obtained from autopsy examination of pathological conditions such as a puncture scar that has been sewn in the gut left scars that have been sewn in the liver and pancreas, presence of jaundice, congestion, edema, organ, bleeding very much in the chest cavity with little blood clots, and many blood clots that stick to multiple organs in the abdomen. Based on the results of the autopsy concluded that the puncture wounds on the liver and the pancreas resulting in the mechanism of blood clotting disorders (Disseminated Intravascular Coagulation/ DIC) and multiple organ failure. The autopsy results are supported by the data as a condition of treatment of hypovolemic shock at admission level 3-4, and after a few hours of completed surgery, patients show the conditions that lead to a diagnosis of DIC, even the more severe conditions lead to multiple organ failure.