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Yagmurov O.D.

Bureau of Forensic Medicine

Karavayev V.M.

St. Petersburg State Budgetary Health Institution Bureau of Forensic Medical Examination

Korobkov N.A.

Kirov Military Medical Academy;
Mechnikov Northwestern State Medical University

Karev V.E.

Children’s Research and Clinical Center for Infectious Diseases

Tolmachev I.A.

Kirov Military Medical Academy

Fetisov V.A.

S.M. Kirov Military Medical Academy of Ministry of Defense of Russia;
St. Petersburg State Budgetary Health Institution Bureau of Forensic Medical Examination

Problems of expert assessment of a case of fatal rupture of the wall of the rudimentary horn of the uterus in ectopic pregnancy

Authors:

Yagmurov O.D., Karavayev V.M., Korobkov N.A., Karev V.E., Tolmachev I.A., Fetisov V.A.

More about the authors

Journal: Forensic Medical Expertise. 2022;65(2): 40‑45

DOI: 10.17116/sudmed20226502140

Views: 1134

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Table of contents

PROBLEMS OF EXPERT ASSESSMENT OF A CASE OF FATAL RUPTURE OF THE WALL OF THE RUDIMENTARY HORN OF THE UTERUS IN ECTOPIC PREGNANCY
PROBLEMS OF EXPERT ASSESSMENT OF A CASE OF FATAL RUPTURE OF THE WALL OF THE RUDIMENTARY HORN OF THE UTERUS IN ECTOPIC PREGNANCY

To cite this article:

Yagmurov OD, Karavayev VM, Korobkov NA, Karev VE, Tolmachev IA, Fetisov VA. Problems of expert assessment of a case of fatal rupture of the wall of the rudimentary horn of the uterus in ectopic pregnancy. Forensic Medical Expertise. 2022;65(2):40‑45. (In Russ.)
https://doi.org/10.17116/sudmed20226502140

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Recently in the Russian Federation there has been a significant increase in the number of commissions of forensic medical examinations on «medical cases» associated with inappropriate provision of medical care to the population. The problem of investigating such crimes is one of the most difficult tasks facing law enforcement agencies. A special place among them is occupied by examinations related to maternal mortality. Bleeding is one of the main causes of maternal mortality, the share of which in Russia in 2019 was 14.5%. An illustrative example of conditionally preventable death is the case of an unfavorable outcome of a pathological pregnancy in patient A., 25 years old, which ended in a sudden spontaneous rupture of the rudimentary horn of the uterus with massive intra-abdominal bleeding. The underestimation of the results of MRI and ultrasound diagnostics led to a medical error in establishing the variant of an anomaly in the development of the uterus in patient A. and entailed the wrong tactics for managing her pregnancy under observation in a private medical organization.

Keywords:

forensic medical examination
maternal mortality
obstetrics and gynecology
ectopic pregnancy
uterine anomalies
rudimentary uterine horn
bleeding

Authors:

Yagmurov O.D.

Bureau of Forensic Medicine

Karavayev V.M.

St. Petersburg State Budgetary Health Institution Bureau of Forensic Medical Examination

Korobkov N.A.

Kirov Military Medical Academy;
Mechnikov Northwestern State Medical University

Karev V.E.

Children’s Research and Clinical Center for Infectious Diseases

Tolmachev I.A.

Kirov Military Medical Academy

Fetisov V.A.

S.M. Kirov Military Medical Academy of Ministry of Defense of Russia;
St. Petersburg State Budgetary Health Institution Bureau of Forensic Medical Examination

Received:

10.07.2021

Accepted:

09.08.2021

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