Maltreatment and Non-Infant Maltreatment, Relevance of Forensic Clinical Anatomy, Presentation of a Case

Maltreatment and Non-Infant Maltreatment, Relevance of Forensic Clinical Anatomy, Presentation of a Case

Main Article Content

Oscar Alonso Plaza
Alejandro Sandoval Aramburo

Abstract

In a recently published article, Andrea Porzionato et al, they expose the relevance of Forensic Clinical Anatomy as a tool in judicial strata when there are medical-legal implications for suspected child abuse and the presence of anatomical variants and traumatic injuries that at any given time are difficult to differentiate. A case is reported where the careful dissection of a minor’s body reveals a congenital malformation of the genital-urinary tract that causes repeated urinary tract infections resulting in sepsis and death, based on this description and the context of death is determined that death is associated with child abuse from lack of medical attention.

References

Porzionato A, Macchi V, Stecco C, Loukas M, Tubbs S, de Caro R. (2017) Forensic Clinical Anatomy: A New Field of Study with Application to Medicolegal Issues. Clin. Anat. 30:2–5. https://doi.org/10.1002/ca.22796

Tseng TY, Stoller ML. (2009) Obstructive uropathy. Clin Geriatr Med 25 437–443. https://doi.org/10.1016/j.cger.2009.06.003

Girardi M, Martin N. (2015) Obstructive uropathy. Hosp Med Clin 4 328–341. https://doi.org/10.1016/j.ehmc.2015.03.010

Good MM, Abele TA, Balgobin S, et al. (2013) Vascular and ureteral anatomy relative to the midsacral promontory. Am J Obstet Gynecol; 208:486.e1-7 https://doi.org/10.1016/j.ajog.2013.02.039

Gesase AP. (2007) Rare origin of supernumerary renal vessels supplying the lower pole of the left kidney. Ann Anat 189 53—58. https://doi.org/10.1016/j.aanat.2006.06.012

Chiarenza SF & Bleve C, et al., (2016) Ureteropelvic junction obstruction in children by polarvessels. Is laparoscopic vascular hitching procedure a good solution? Single center experience on 35 consecutive patients. Journal of Pediatric Surgery, 51 310-314. https://doi.org/10.1016/j.jpedsurg.2015.10.005

Park J M, Bloom D A, (1998) Clínicas Quirúrgicas de Norteamérica, Volumen 2, páginas 177-185. Sherer B &Stoller M. (2018) Obstructive Uropathy. Semin Nucl Med, 48(4):377-390, 16 Mar 2018.Dennert R. & Crijns HJ. (2008) Acute viral miocarditis. European Heart Journal 29, 2073–2082. https://doi.org/10.1093/eurheartj/ehn296