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...
Guardado en:
Autores principales: | , , , , , |
---|---|
Formato: | article |
Lenguaje: | EN |
Publicado: |
MDPI AG
2021
|
Materias: | |
Acceso en línea: | https://doaj.org/article/8a8b8181c4724123959053ebb802cbb0 |
Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
id |
oai:doaj.org-article:8a8b8181c4724123959053ebb802cbb0 |
---|---|
record_format |
dspace |
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 |
work_keys_str_mv |
AT mariclamarrone deathrelatedtoacongenitalvascularanomalyofpulmonaryhamartomatypemalpracticeortragicfatality AT lauramarrone deathrelatedtoacongenitalvascularanomalyofpulmonaryhamartomatypemalpracticeortragicfatality AT gerardocazzato deathrelatedtoacongenitalvascularanomalyofpulmonaryhamartomatypemalpracticeortragicfatality AT stefanialonerobaldassarra deathrelatedtoacongenitalvascularanomalyofpulmonaryhamartomatypemalpracticeortragicfatality AT giuseppeingravallo deathrelatedtoacongenitalvascularanomalyofpulmonaryhamartomatypemalpracticeortragicfatality AT alessandrastellacci deathrelatedtoacongenitalvascularanomalyofpulmonaryhamartomatypemalpracticeortragicfatality |
_version_ |
1718411331273490432 |