Pollak S, Ropohl D, Bohnert M
Institute of Forensic Medicine, University of Freiburg, Germany.
Forensic Sci Int. 1999 Jan 4;99(1):61-9. doi: 10.1016/s0379-0738(98)00177-7.
A 28-year-old man sustained two shotgun injuries of the left inguinal region from a distance of about 1.5 m by simultaneous discharge of both shells from a sawn-off double-barrelled 16-bore shotgun (diameter of the lead pellets, 4 mm). The first X-ray examination carried out soon after hospital admission showed a single embolized pellet near the right margin of the cardiac silhouette. Eight months later, the man committed suicide by drug intoxication. At autopsy, the embolized pellet was found embedded between the pectinate muscles of the right atrium. On the basis of the reported case and with reference to the pertinent literature, the paper points out the medico-legal aspects of venous bullet/pellet embolism and the risk of lead poisoning after shotgun injury.
一名28岁男子被锯短的16口径双管猎枪（铅弹直径4毫米）同时发射的两枚霰弹击中左腹股沟区，距离约1.5米。入院后不久进行的首次X线检查显示，心脏轮廓右缘附近有一枚栓塞的弹丸。八个月后，该男子药物中毒自杀。尸检时，发现栓塞的弹丸嵌顿于右心房梳状肌之间。基于该病例报告并参考相关文献，本文指出了静脉子弹/弹丸栓塞的法医学问题以及霰弹枪伤后铅中毒的风险。
