1
|
Sastre C, Richeval C, Wiart JF, Baillif-Couniou V, Desfeux J, Lebreton-Chakour C, Allorge D, Gaulier JM, Léonetti G, Pélissier-Alicot AL. Décès par surdosage en oxycodone chez une enfant de 11ans. Toxicologie Analytique et Clinique 2016. [DOI: 10.1016/j.toxac.2016.03.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
2
|
Tuchtan L, Torrents J, Lebreton-Chakour C, Niort F, Christia-Lotter MA, Delmarre E, Nicollas R, Piercecchi-Marti MD. Liability under post-tonsillectomy lethal bleeding of the tonsillar artery: a report of two cases. Int J Pediatr Otorhinolaryngol 2015; 79:83-7. [PMID: 25464852 DOI: 10.1016/j.ijporl.2014.11.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2014] [Revised: 11/04/2014] [Accepted: 11/07/2014] [Indexed: 10/24/2022]
Abstract
Post-operative haemorrhage is a frequent complication of tonsillectomy: a primary haemorrhage occurring in the first hours is rapidly dealt with by the surgical team. A secondary haemorrhage, which commonly occurs once the child has returned home, can be fatal if it is not dealt with quickly. We present two cases of a lethal outcome in children following a secondary post-tonsillectomy haemorrhage, for which the parents filed legal proceedings. Medical liability can be exercised during all stages of health care. Performing an autopsy associated with histological analyses is found to be indispensable for the identification of the causes of bleeding, as well as its mechanism.
Collapse
Affiliation(s)
- L Tuchtan
- APHM, CHU Timone, Service de Médecine Légale et Droit de la Santé, 13385, Marseille, Cedex 5, France; Aix Marseille Université, CNRS, EFS, ADES UMR 7268, 13916, Marseille, France.
| | - J Torrents
- APHM, CHU Timone, Service de Médecine Légale et Droit de la Santé, 13385, Marseille, Cedex 5, France; Aix Marseille Université, CNRS, EFS, ADES UMR 7268, 13916, Marseille, France; APHM, CHU Timone, Service d'anatomo-pathologie, 13385, Marseille, Cedex 5, France
| | - C Lebreton-Chakour
- APHM, CHU Timone, Service de Médecine Légale et Droit de la Santé, 13385, Marseille, Cedex 5, France; Aix Marseille Université, CNRS, EFS, ADES UMR 7268, 13916, Marseille, France
| | - F Niort
- APHM, CHU Timone, Service de Médecine Légale et Droit de la Santé, 13385, Marseille, Cedex 5, France
| | - M A Christia-Lotter
- APHM, CHU Timone, Service de Médecine Légale et Droit de la Santé, 13385, Marseille, Cedex 5, France
| | - E Delmarre
- APHM, CHU Timone, Service de Médecine Légale et Droit de la Santé, 13385, Marseille, Cedex 5, France
| | - R Nicollas
- APHM, CHU Timone, Service d'ORL et de Chirurgie Cervico-Faciale Pédiatrique, 13385, Marseille, Cedex 5, France
| | - M D Piercecchi-Marti
- APHM, CHU Timone, Service de Médecine Légale et Droit de la Santé, 13385, Marseille, Cedex 5, France; Aix Marseille Université, CNRS, EFS, ADES UMR 7268, 13916, Marseille, France
| |
Collapse
|
3
|
Lebreton-Chakour C, Boval C, Torrents J, Bartoli C, Leonetti G, Piercecchi-Marti MD. [Fatal hemorrhage in postpartum by rupture of a splenic artery aneurysm]. ACTA ACUST UNITED AC 2013; 41:617-9. [PMID: 24094666 DOI: 10.1016/j.gyobfe.2013.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2012] [Accepted: 03/18/2013] [Indexed: 11/25/2022]
Abstract
The maternal mortality is rare and when it arises, the family often puts the medical profession in guilty's position. We present the case of a 38-year-old woman, died in the post-partum in a context of intense back pains. The autopsy found an incidental hemorrhagic syndrome to a two-stage rupture of the splenic artery. We shall discuss the aetiology. The autopsy and the anatomopathological examination are practiced only in hardly more than a quarter of the cases while they will be important in proceedings and will allow the family to go into mourning.
Collapse
Affiliation(s)
- C Lebreton-Chakour
- Service de médecine légale et droit de la santé, CHU Timone, Aix Marseille université, 13005 Marseille, France.
| | | | | | | | | | | |
Collapse
|
4
|
Lebreton-Chakour C, Massiani P, Sari-Minodier I. La reconnaissance des maladies professionnelles dans la fonction publique d’État : spécificités de la procédure et place du médecin de prévention. ARCH MAL PROF ENVIRO 2012. [DOI: 10.1016/j.admp.2012.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|