Sevoflurane Intoxication: A Fatal Suicide/ Sevofluran Intoksikasyonu: Olumle Sonuclanan Bir Intihar Olgusu

A fatal suicide of sevoflurane is presented in this report. A 20-year-old female anesthesia technichian student was found dead lying on her back in dormitory room. The crime scene investigator reported that there was a 250 mL bottle labeled "sevorane liquid 100%" on the table. During the autopsy, no traumatic injuries were found that could have caused the death. Histopathological evaluation of internal organs revealed focal areas of atelectasis and congestion in the lungs, autolysis and congestion in the pancreas, and congestion liver, heart, kidney, brain, cerebellum, and brainstem. Screening for drugs and their metabolites was conducted in blood, urine, and internal organs using enzyme immunoassays along with gas chromatography-mass spectrometry (GC/MS). No traces of any substances, including ethanol, were discovered through the toxicological evaluation. Sevoflurane was identified and quantified using headspace gas chromatography, indicating a concentration of 41.0 [micro]g/ mL in the blood. This substance was also confirmed in the gastric content through GC/MS analysis. It was reported that the death of the person occurred as a result of ingestion of sevoflurane and accompanying complications. Keywords: Sevoflurane, volatile anesthetic, suicide, toxicology, forensic medicine Bu calismada, sevofluranla gerceklestirilen bir intihar olgu sunulmaktadir. Yirmi yasinda kadin anestezi teknisyenligi ogrencisi, yurt odasindasirt ustu hareketsiz halde olu olarak bulunmustur. Olay yeri incelemecisi, masada "sevorane sivisi %100" olarak etiketlenmis 250 mL'lik bir siseoldugunu bildirmistir. Otopside, olume sebep olabilecek travmatik bir lezyon bulunmamistir. Ic organlarin histopatolojik degerlendirmesinde,akcigerlerde fokal atelektazi ve konjesyon, pankreasta otoliz ve konjesyon, karacigerde, kalpte, bobrekte, beyinde, beyincikte ve beyin sapindakonjesyon gozlenmistir. Kan, idrar ve ic organlar, enzim immunoanalizleri ve gaz kromatografisi kutle spektrometresi (GC/MS) kullanilarakilaclar ve metabolitler acisindan taranmistir. Toksikolojik analizde etanol dahil hicbir ilac tespit edilmemistir. Sevofluran, headspace gazkromatografisi kullanilarak belirlenmis ve kandaki konsantrasyonu 41.0 [micro]g/mL saptanmistir. Ayrica sevofluran GC/MS ile mide iceriginde detespit edilmistir. Kisinin olumunun, sevofluranin oral alimi ve beraberinde gelisen komplikasyonlar sonucu meydana geldigi bildirilmistir. Anahtar Kelimeler: Sevofluran, volatil anestezik, intihar, toksikoloji,