Forensic evaluation of the displacement of the spleen with a full stomach


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Abstract

Until now, no studies have been conducted to study the localization and displacement of the spleen with a full stomach in a person in an upright position. This issue is critical since damage to the spleen in living individuals is most often caused when the victim is in an upright position or close to him. As a result of the study, it was found that in the majority of the examined (64%) with a full stomach, there was no change in the topography of the spleen from the initial one. In other cases (36%), displacement and changes in the orientation of the spleen’s longitudinal axis were noted. In 42% of the surveyed, a full stomach prevented the expulsion of the spleen. In 58%, it did not affect the mobility and displacement of the spleen, making it possible to exclude a full stomach factor in the formation of organ damage. The study results can be used in the production of forensic medical examinations to establish the features of the mechanism of the formation of spleen lesions, the conditions, and the time of their occurrence.

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About the authors

I. A Levandrovskaya

111th Main State Center of Medical Forensic and Criminalistics Examinations of the Ministry of Defense of the Russian Federation

Email: ilevandrovskaya@mail.ru
Moscow, Russia

I. A Aseeva

The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Moscow, Russia

P. V Pinchuk

111th Main State Center of Medical Forensic and Criminalistics Examinations of the Ministry of Defense of the Russian Federation; The N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

Email: pinchuk1967@mail.ru
Moscow, Russia

E. V Kryukov

The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Moscow, Russia

V. N Troyan

The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Moscow, Russia

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Copyright (c) 2020 Levandrovskaya I.A., Aseeva I.A., Pinchuk P.V., Kryukov E.V., Troyan V.N.


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