Death Related to a Congenital Vascular Anomaly of Pulmonary Hamartoma Type: Malpractice or Tragic Fatality?

In forensic pathology, apparently straightforward cases can often hide rarities that, if not correctly interpreted, can alter the results of the entire investigation, leading to misinterpretations. This occurs when the investigation is conducted to assess medical malpractice. An unexpected death, wi...

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Autores principales: Maricla Marrone, Laura Marrone, Gerardo Cazzato, Stefania Lonero Baldassarra, Giuseppe Ingravallo, Alessandra Stellacci
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/8a8b8181c4724123959053ebb802cbb0
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spelling oai:doaj.org-article:8a8b8181c4724123959053ebb802cbb02021-11-25T18:18:49ZDeath Related to a Congenital Vascular Anomaly of Pulmonary Hamartoma Type: Malpractice or Tragic Fatality?10.3390/medicina571112311648-91441010-660Xhttps://doaj.org/article/8a8b8181c4724123959053ebb802cbb02021-11-01T00:00:00Zhttps://www.mdpi.com/1648-9144/57/11/1231https://doaj.org/toc/1010-660Xhttps://doaj.org/toc/1648-9144In forensic pathology, apparently straightforward cases can often hide rarities that, if not correctly interpreted, can alter the results of the entire investigation, leading to misinterpretations. This occurs when the investigation is conducted to assess medical malpractice. An unexpected death, with no known apparent cause, is often linked to an underlying disease process of unclear etiological origin whose nature can, unfortunately, be properly investigated only post-mortem. This presentation shows a case study, in which it was possible to reconduct the death of a patient to a natural pathology and not to medical treatment. Here, the authors illustrate a case with a hamartoma developed in chronic inflammatory conditions (bronchiectasis) that was difficult to differentiate from lung cancer due to the inability to perform specific instrumental examinations. The hamartoma, usually benign and identifiable by standard instrumental investigations, in this case, led to the patient’s death precisely during the execution of a bronchoscopy. However, in the absence of a certain cause of death, public opinion unanimously attributes a patient’s disease to medical error. Indeed, a routine practice such as bronchoscopy should not cause death and consequently, the doctor must have made a mistake. Fortunately, the autopsy not only demonstrated the origin of the bleeding but also unveiled the reason for this, as rare congenital lung disease. Fate, one might say.Maricla MarroneLaura MarroneGerardo CazzatoStefania Lonero BaldassarraGiuseppe IngravalloAlessandra StellacciMDPI AGarticlemedical malpracticedefensive medicinebronchoscopydoctor-patient relationshipautopsyCOVID-19Medicine (General)R5-920ENMedicina, Vol 57, Iss 1231, p 1231 (2021)
institution DOAJ
collection DOAJ
language EN
topic medical malpractice
defensive medicine
bronchoscopy
doctor-patient relationship
autopsy
COVID-19
Medicine (General)
R5-920
spellingShingle medical malpractice
defensive medicine
bronchoscopy
doctor-patient relationship
autopsy
COVID-19
Medicine (General)
R5-920
Maricla Marrone
Laura Marrone
Gerardo Cazzato
Stefania Lonero Baldassarra
Giuseppe Ingravallo
Alessandra Stellacci
Death Related to a Congenital Vascular Anomaly of Pulmonary Hamartoma Type: Malpractice or Tragic Fatality?
description In forensic pathology, apparently straightforward cases can often hide rarities that, if not correctly interpreted, can alter the results of the entire investigation, leading to misinterpretations. This occurs when the investigation is conducted to assess medical malpractice. An unexpected death, with no known apparent cause, is often linked to an underlying disease process of unclear etiological origin whose nature can, unfortunately, be properly investigated only post-mortem. This presentation shows a case study, in which it was possible to reconduct the death of a patient to a natural pathology and not to medical treatment. Here, the authors illustrate a case with a hamartoma developed in chronic inflammatory conditions (bronchiectasis) that was difficult to differentiate from lung cancer due to the inability to perform specific instrumental examinations. The hamartoma, usually benign and identifiable by standard instrumental investigations, in this case, led to the patient’s death precisely during the execution of a bronchoscopy. However, in the absence of a certain cause of death, public opinion unanimously attributes a patient’s disease to medical error. Indeed, a routine practice such as bronchoscopy should not cause death and consequently, the doctor must have made a mistake. Fortunately, the autopsy not only demonstrated the origin of the bleeding but also unveiled the reason for this, as rare congenital lung disease. Fate, one might say.
format article
author Maricla Marrone
Laura Marrone
Gerardo Cazzato
Stefania Lonero Baldassarra
Giuseppe Ingravallo
Alessandra Stellacci
author_facet Maricla Marrone
Laura Marrone
Gerardo Cazzato
Stefania Lonero Baldassarra
Giuseppe Ingravallo
Alessandra Stellacci
author_sort Maricla Marrone
title Death Related to a Congenital Vascular Anomaly of Pulmonary Hamartoma Type: Malpractice or Tragic Fatality?
title_short Death Related to a Congenital Vascular Anomaly of Pulmonary Hamartoma Type: Malpractice or Tragic Fatality?
title_full Death Related to a Congenital Vascular Anomaly of Pulmonary Hamartoma Type: Malpractice or Tragic Fatality?
title_fullStr Death Related to a Congenital Vascular Anomaly of Pulmonary Hamartoma Type: Malpractice or Tragic Fatality?
title_full_unstemmed Death Related to a Congenital Vascular Anomaly of Pulmonary Hamartoma Type: Malpractice or Tragic Fatality?
title_sort death related to a congenital vascular anomaly of pulmonary hamartoma type: malpractice or tragic fatality?
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/8a8b8181c4724123959053ebb802cbb0
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