The Importance of the Split Blood Specimen in Postmortem Medicolegal Examinations: Methanol Intoxication/Postmortem Adli Tibbi Incelemelerde Sahit Kan Numunesinin Onemi: Metanol Intoksikasyonu

The histopathological and toxicological analyzes of biological samples taken during autopsy are important in determining the cause of death in the suspicious deaths. However, no toxic substance can be detected in the analyzes performed in the postmortem period, especially in the treated cases. In this case, the stored split specimen at the first admission to the hospital can be examined. In this study, a 55-year-old male case who was found unconscious on the roadside and died during his treatment in the intensive care unit was presented. He had a history of drinking cologne. Although no toxic substance was found in postmortem samples, lethal dose of methanol and formic acid were detected in the analysis of the split blood specimen taken at the emergency unit admission. With this case, it is aimed to emphasize the importance of taking the split biological specimen in the first admission of forensic cases. Keywords: Forensic toxicology, the split specimen, methanol, autopsy Ani ve supheli olumlerde olum nedeninin tespit edilmesinde otopsiyle birlikte, otopsi sirasinda alinan biyolojik orneklerin histopatolojik ve toksikolojik analizleri onemlidir. Bununla birlikte ozellikle tedavi goren olgularda postmortem donemde yapilan analizlerde toksik madde saptanamamaktadir. Bu durumda hastaneye ilk basvurusunda alinip saklanan sahit numunelerde inceleme yapilabilir. Bu calismada, ozgecmisinde kolonya icme oykusu olan ve yol kenarinda bilinci kapali sekilde bulunan 55 yasinda bir erkek olgu sunulmustur. Olgu, yogun bakimdaki tedavisi sirasinda olmustur. Postmortem alinan biyolojik orneklerde herhangi bir toksik madde bulunamamis olup, ancak acil servis basvurusunda alinan sahit kan numunesi analizinde lethal dozda metanol ve formik asit saptanmistir. Bu olgu ile adli olgularin ilk basvurularinda ilgili biyolojik orneklerin sahit numunelerinin alinarak, gerektiginde adli tibbi amaclarla kullanilmak uzere belirli bir sure muhafaza edilmesinin onemi vurgulanmak istenmistir. Anahtar Kelimeler: Adli toksikoloji, sahit numune, metanol, otopsi