Karger Bernd, Teige Klaus, Bajanowski Thomas
Institute of Legal Medicine, University of Münster, Germany.
J Forensic Sci. 2002 Mar;47(2):389-91.
Two fatalities due to unusual impalement injuries are reported. (1) A large branch broken off during a storm had entered a passing car and perforated the chest of the driver and the back of the seat. The chest organs were grossly lacerated. The car was subsequently stopped by another tree and this second impact removed the wood from the body. (2) A man suffered anorectal impalement by the leg of a stool turned upside down. He had introduced one stool leg into his anus for sexual stimulation and fell onto it. This resulted in a wound channel 36 cm long including perforation of the rectum, urinary bladder, mesentery, transverse mesocolon and liver. Before autopsy, the mode of death was unclear because the man had removed the stool leg himself, his wife had hidden the stool from the scene, and there were no relevant external injuries. In both cases, a reliable reconstruction required investigation of the scene and consideration of extremely unlikely circumstances or of bizarre human activities.
据报道，有两起因异常穿刺伤导致的死亡案例。（1）一场暴风雨中折断的一根大树枝扎入一辆过往汽车，穿透了司机的胸部和座椅靠背。胸部器官严重撕裂。随后汽车被另一棵树拦住，第二次撞击将树枝从身体上移除。（2）一名男子因倒放的凳子腿导致肛门直肠穿刺伤。他为了性刺激将一条凳子腿插入肛门，然后摔倒在上面。这导致了一条36厘米长的伤口通道，包括直肠、膀胱、肠系膜、横结肠系膜和肝脏穿孔。在尸检前，死因不明，因为该男子自己拔掉了凳子腿，他的妻子将凳子从现场藏了起来，且没有相关的外部损伤。在这两起案例中，可靠的重建需要对现场进行调查，并考虑极不可能发生的情况或怪异的人类行为。
